Individual provider Active NPI

Marie Isabel Hernandez McManus, CCC-SLP/BSLP

  • Speech-Language Pathologist
  • Dallas, TX
National Provider Identifier
1669596391
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
120711 Issued in TX
Practice address
3707 W Jefferson Blvd Ste 130
Dallas, TX 75211-4713
Phone
(469) 213-0795
Fax
(469) 259-2509
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 120711 TX Primary

Addresses

Primary practice location

3707 W Jefferson Blvd Ste 130
Dallas, TX 75211-4713

Mailing address

3707 W Jefferson Blvd Ste 130
Dallas, TX 75211-4713
Phone (469) 213-0795

Other names 1

  • Marie Isabel Hernandez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241217001600 TX Practitioner - Qualified Speech Language Pathologist 7113454042 Reassigns benefits to 1 organization
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ignite Speech Therapy PLLC Speech-Language Pathologist CurrentSince Oct 26, 2024 Accepting new patients

Locations

3707 W Jefferson Blvd
#130
Dallas, TX 75211
Phone (469) 213-0795

3707 W Jefferson Blvd
Ste 130
Dallas, TX 75211
Phone (469) 213-0795

Organizations & group practices 1

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1669596391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 W JEFFERSON BLVD STE 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752114713",
            "telephone_number": "469-213-0795",
            "fax_number": "469-259-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 W JEFFERSON BLVD STE 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752114713",
            "telephone_number": "469-213-0795",
            "fax_number": "469-259-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ MCMANUS",
        "first_name": "MARIE",
        "middle_name": "ISABEL",
        "credential": "CCC-SLP/BSLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "120711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "HERNANDEZ",
            "middle_name": "ISABEL",
            "credential": "CCC-SLP/BSLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.