Active NPI
Constance M Mannke, RN
- Registered Nurse
- Sugar Land, TX
National Provider Identifier
1730358292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 569311
- Practice address
- 15200 S. US 59 Hwy
Suite 360
Sugarland, TX 77478-4032 - Phone
- (832) 237-3500
- Fax
- (832) 237-0200
- NPI assigned
- Feb 28, 2008
- Last updated
- Dec 4, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 569311 | TX | |
| Registered Nurse | 163W00000X | 569311 | TX | Primary |
Addresses
Primary practice location
15200 S. US 59 Hwy
Suite 360
Sugarland, TX 77478-4032
Mailing address
11321 Fallbrook Dr
Houston, TX 77065-4232
Phone (832) 237-3500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 569311 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dcoa Physicians PA | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386115200000",
"number": "1730358292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11321 FALLBROOK DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770654232",
"telephone_number": "832-237-3500",
"fax_number": "832-237-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15200 S. US 59 HWY",
"address_2": "SUITE 360",
"city": "SUGARLAND",
"state": "TX",
"postal_code": "774784032",
"telephone_number": "832-237-3500",
"fax_number": "832-237-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNKE",
"first_name": "CONSTANCE",
"middle_name": "M",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-28",
"last_updated": "2013-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "TX",
"license": "569311",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "569311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.