Tamara Tara Manns, RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

RN150117 Issued in LA

Practice address

537 Cumberland Dr
Shreveport, LA 71106-5919

Phone

(318) 560-0409

NPI assigned

Feb 25, 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

Other names 1

• Tamara Tara Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1750975116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 PLAZA CIR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711114811",
            "telephone_number": "419-307-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 CUMBERLAND DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711065919",
            "telephone_number": "318-560-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNS",
        "first_name": "TAMARA",
        "middle_name": "TARA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "LA",
            "license": "RN150117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "SMITH",
            "middle_name": "TARA",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jordyn Manning, MSN, APRN, PMHNP
• Lasonia Sowers Manning
• Shamoindra Manning
• Victor Veron Manning
• Mackenzie Lynn Manno
• Dominique M Mano
• Kaila Wildes Manshack, DC
• Ishak Mansi, M.D.
• Richard Preston Mansour, M.D.
• Jacqueline Pace Manuel

• Pediatric Registered Nurse in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Pediatric Registered Nurse in Louisiana

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