Manuel Enrique Tejada, MBA

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1380 Bay Ave
Springdale, AR 72764-7956

Phone

(479) 713-0080

NPI assigned

Sep 15, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1477331007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 BAY AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727647956",
            "telephone_number": "479-713-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 BAY AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727647956",
            "telephone_number": "479-713-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJADA",
        "first_name": "MANUEL",
        "middle_name": "ENRIQUE",
        "credential": "MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Dane Taylor, O.D.
• Tiffany Nicole Tayrien, MHPP
• TBD Health Enterprises of Arkansas PLLC
• Jason Lee Tebeest, PT
• Kelsey Tejada, COTA
• Auburn Telano, OTR
• Yesenia Telles Martinez
• Ariel Templeton
• Andrea Tennison
• Tyler Tennison

• Community Health Worker in Springdale, AR
• Providers in Springdale, AR by specialty
• Community Health Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.