Individual provider Active NPI

Daniel Jon Lamanna, MSN-APRN-PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1770065229
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP138630 Issued in TX
Practice address
630 W 34TH St
Austin, TX 78705-1232
Phone
(651) 460-0164
NPI assigned
Aug 31, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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 AP138630 TX Primary

Addresses

Primary practice location

630 W 34TH St
Austin, TX 78705-1232

Mailing address

630 W 34TH St
Austin, TX 78705-1232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191211000652 TX Practitioner - Nurse Practitioner 7113350893 Reassigns benefits to 1 organization
I20230912004378 AZ Practitioner - Nurse Practitioner 7113350893 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
Group practices

Practice addresses (Care Compare)

6937 N Ih
Suite 35
Austin, TX 78752-3295
Phone (512) 472-4357

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP138630TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Southernaz, LLC CurrentSince Jul 16, 2023 Accepting new patients
Manzanita Mind Institute PLLC Psychiatric/Mental Health CurrentSince Jul 19, 2024 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center Psychiatric/Mental Health CurrentSince Dec 30, 2025 Accepting new patients
Connections Southernaz, LLC CurrentSince Jul 16, 2023 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center CurrentSince Dec 30, 2025 Accepting new patients

Locations

1205 S 7th Ave
Ste 105
Phoenix, AZ 85007
Phone (602) 416-7647

2802 E District St
Fl 2
Tucson, AZ 85714
Phone (602) 253-5100

2802 E District St
Tucson, AZ 85714
Phone (520) 622-6000

3075 N Swan Rd
Tucson, AZ 85712
Phone (520) 230-1055

1430 Collier St
Austin, TX 78704
Phone (512) 427-4357

6222 N Lamar Blvd
Austin, TX 78752
Phone (512) 206-4062

Organizations & group practices 5

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": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1770065229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W 34TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W 34TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051232",
            "telephone_number": "651-460-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMANNA",
        "first_name": "DANIEL",
        "middle_name": "JON",
        "credential": "MSN-APRN-PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-31",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP138630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.