Individual provider Active NPI

Margaret Manoti, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Melissa, TX
National Provider Identifier
1730787060
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10278 Issued in CT
Practice address
4202 Mimosa Dr
Melissa, TX 75454-0229
Phone
(214) 714-4825
NPI assigned
Oct 9, 2020
Last updated
May 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10278 CT Primary

Addresses

Primary practice location

4202 Mimosa Dr
Melissa, TX 75454-0229

Mailing address

4202 Mimosa Dr
Melissa, TX 75454-0229
Phone (214) 714-4825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240417002747 TX Practitioner - Nurse Practitioner 0042659484 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Melissa, TX 75454
Phone (469) 659-7819

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10278CTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetouch Healthcare PLLC Psychiatric/Mental Health CurrentSince Jan 6, 2025 Accepting new patients
Blue Star Rehabilitation, LLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

17754 Preston Rd
Ste 100
Dallas, TX 75252
Phone (972) 445-4134

800 W Airport Fwy
#959
Irving, TX 75062
Phone (972) 445-4134

Interoperability endpoints

  • Direct secure messaging: margaret.manoti.1@29658.direct.athenahealth.com

Organizations & group practices 2

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": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1730787060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 MIMOSA DR",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754540229",
            "telephone_number": "214-714-4825",
            "fax_number": "972-430-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 MIMOSA DR",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754540229",
            "telephone_number": "214-714-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOTI",
        "first_name": "MARGARET",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-09",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "10278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melissa, TX

Sources for this page

Verify at the official NPI Registry.