Robin King Mantilla, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

108180 Issued in TX

Practice address

11914 Newport Shore Dr
Houston, TX 77065-3950

Phone

(305) 773-5313

NPI assigned

Apr 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1700908837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11914 NEWPORT SHORE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653950",
            "telephone_number": "305-773-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11914 NEWPORT SHORE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653950",
            "telephone_number": "305-773-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTILLA",
        "first_name": "ROBIN",
        "middle_name": "KING",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "108180",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA8827",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891719100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Manteca, LOTA
• Raju Mantena, D.O
• Yogita Mantena, DO
• Smitha Mantha, DPM
• Nathaniel Manthey, RN
• Mantra Investments Inc
• Mantra Investments Inc.
• Joan Osei Manu, A-GNP-C
• Manuel Thomas Trigo
• Aaliyah S. Manuel

• Speech-Language Pathologist in Houston, TX
• Providers in Houston, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.