Amanda Rivault Manor, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

113 Chaplin Dr
Lafayette, LA 70508-2101

Phone

(337) 521-7000

NPI assigned

Sep 22, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1417628207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 GREEN MEADOW RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705036104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CHAPLIN DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705082101",
            "telephone_number": "337-521-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOR",
        "first_name": "AMANDA",
        "middle_name": "RIVAULT",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana D. Manly, LPC
• Patty Mann, NP
• Morgan Anne Mannina-Williams, PA-C
• Avery Mannina
• Nina S Manning, NP
• Alvaro Frederico Manrique Garcia, M.D.
• Himani Reddy Manthena, MD.
• Manuel Medical Clinic, Inc.
• Camille Deshotel Manuel, LOTR
• Carrie R. Manuel, CRNA

• Speech-Language Pathologist in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.