Kangamwirai Manyanga, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1029981 Issued in TX

Practice address

1441 Berkley Ave
Dallas, TX 75224-1113

Phone

(214) 854-7267

NPI assigned

Feb 20, 2021

Sex

Female

Sole proprietor

Yes

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.

• Tamcare Home Health LLC

  dba Reliant at Home

  • Home Health Agency
  • El Paso, TX
  • NPI 1669631446
  NPD

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

{
    "created_epoch": "1613779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613779200000",
    "number": "1689268617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 BERKLEY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752241113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 BERKLEY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752241113",
            "telephone_number": "214-854-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANYANGA",
        "first_name": "KANGAMWIRAI",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-20",
        "last_updated": "2021-02-20",
        "certification_date": "2021-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1029981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Griego Jr. DO PA (Fair Park Medical Centre)
• Manuel Griego Jr. DO PA (Metroplex Rehabilitation Centre)
• Manuel Griego, Jr. D.O., P.a. (Metroplex Rehabilitation Centre)
• Manuel Tellez, D.O., P.a.
• Cherlindra Lenell Manus, BS, QMHP
• Jose Manzanilla, CRNA
• Hannia Yamil Manzano Bonfil
• Maria Manzano
• Souren Manzouri, M.D.
• Mafruha Manzur

• Psychiatric/Mental Health Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.