Jordan Jarreau Manganello, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1099795 Issued in TX

Practice address

3200 Research Forest Dr Ste A4
The Woodlands, TX 77381-4084

Phone

(281) 297-6305

NPI assigned

Nov 20, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Comprehensive Sleep Medicine Associates, PAGroup PAC ID 1052404050, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Comprehensive Sleep Medicine Associates, PA

  • Neurology Physician
  • Houston, TX
  • NPI 1114954443
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1750984886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 RESEARCH FOREST DR STE A4",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773814084",
            "telephone_number": "281-297-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 RESEARCH FOREST DR STE A4",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773814084",
            "telephone_number": "281-297-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGANELLO",
        "first_name": "JORDAN",
        "middle_name": "JARREAU",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2024-06-11",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "202488",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "202488",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1099795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "281-297-6305",
            "affiliation": "Y",
            "endpointDescription": "Office number",
            "affiliationName": "Comprehensive Sleep Medicine Associates, PA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3200 Research Forest Dr Ste A4",
            "city": "The Woodlands",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773814084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Enrica Gonzalez Malone, MFT
• Man 2 Man Counseling Center, PLLC
• Man 2 Man Counseling Center, PLLC
• Danilo Manansala
• Lauren Mancuso, FNP-C
• Balakrishna Reddy Mangapuram, M.D.
• Mann Eye Center
• Mann on the Run
• Andrew Lawrence John Mann, OD
• Harnak Singh Mann, MD

• Family Nurse Practitioner in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.