Stacey Mann, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

232122 Issued in TX

Practice address

7 Upper Balcones Rd
Boerne, TX 78006-8546

Phone

(210) 819-8001

Fax

(210) 640-9824

NPI assigned

Apr 26, 2018

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

State licenses

Practice roles

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.

• Texas Kids Home Therapy Professional Limited Liability Company

  • Home Health Agency
  • Boerne, TX
  • NPI 1790065845
  NPD (past)

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1619465572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 UPPER BALCONES RD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780068546",
            "telephone_number": "210-819-8001",
            "fax_number": "210-640-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 UPPER BALCONES RD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780068546",
            "telephone_number": "210-819-8001",
            "fax_number": "210-640-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "STACEY",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "232122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mellyruth Maldonado, FNP-C
• Michael Gene Malinas, M.S.S.W.
• Naomi Brooke Mandel, LMFT, LPC
• Manica Isiguzo, MD PA
• Samantha Mann, RBT
• Irma Manno, RN
• John Ross Manship, R.PH.
• Weston Alan Manuel
• Dolores Manzanarez, SLPA
• Cristina Marroquin, CCC-SLP

• Licensed Vocational Nurse in Boerne, TX
• Providers in Boerne, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.