Individual provider Active NPI

Cynthia M Mani, FNP-BC

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1497033963
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
712588 Issued in TX
Practice address
6812 Harrisburg Blvd
Houston, TX 77011-4626
Phone
(713) 715-4460
Fax
(713) 715-4465
NPI assigned
Aug 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 712588 TX Primary

Addresses

Primary practice location

6812 Harrisburg Blvd
Houston, TX 77011-4626

Mailing address

300 E John Carpenter Fwy # 850
Irving, TX 75062-2727
Phone (972) 957-3000

Other identifiers 1

IdentifierTypeStateIssuer
712588OtherAPN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110920000619 TX Practitioner - Nurse Practitioner 2860663085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Childrens Physician GroupGroup PAC ID 4385722081, 661 clinicians

Practice addresses (Care Compare)

6701 Fannin St
Houston, TX 77030-2608
Phone (832) 824-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
712588TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Children's Physician Group CurrentSince Aug 16, 2014 Accepting new patients
Topcare Medical Group Inc PastSince Aug 25, 2015 Accepting new patients

Locations

6701 Fannin St
Ste 1060
Houston, TX 77030

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

6651 Main St
Ste F320
Houston, TX 77030
Phone (512) 828-3660

Interoperability endpoints

  • Direct secure messaging: cmani166279@prddirect.texaschildrens.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1497033963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E JOHN CARPENTER FWY # 850",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750622727",
            "telephone_number": "972-957-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6812 HARRISBURG BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770114626",
            "telephone_number": "713-715-4460",
            "fax_number": "713-715-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANI",
        "first_name": "CYNTHIA",
        "middle_name": "M",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "712588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN LICENSE",
            "identifier": "712588",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.