Tanisha Mangon, MSN, APRN, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

709892 Issued in TX

Practice address

14090 Southwest Fwy Ste 300
Sugar Land, TX 77478-3679

Phone

(281) 524-8902

Fax

(281) 805-1386

NPI assigned

Jul 16, 2010

Last updated

Jul 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Accentcare Home Health of Houston - North, LLC Home health agency, Houston, TX, CCN 457741

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dynamiccomprehensivesolutions.tanishamangon@161770.advancedmd-direct.com

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.

• Dynamic Comprehensive Solutions PLLC

  • Internal Medicine Physician
  • Sugar Land, TX
  • NPI 1750170809

  Adult Health

  Medicare reassignment NPD Authorized official
• Mantis Medical PLLC

  • Adult Health Nurse Practitioner
  • Sugar Land, TX
  • NPI 1558165803
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Accentcare Home Health of Houston - North, LLC

  • Home Health Agency
  • Houston, TX
  • NPI 1306544689
  Care Compare affiliation

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1770896953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12202 QUIET MEADOW CT",
            "city": "MEADOWS PLACE",
            "state": "TX",
            "postal_code": "774772258",
            "telephone_number": "832-334-8427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14090 SOUTHWEST FWY STE 300",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783679",
            "telephone_number": "281-524-8902",
            "fax_number": "281-805-1386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18333 Egret Bay Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770583239",
            "country_code": "US",
            "telephone_number": "832-334-8427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGON",
        "first_name": "TANISHA",
        "credential": "MSN, APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-16",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "709892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215538407",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shanna Mary Manalel, OD
• John Manaloto, CNIM
• Manasi S. Kekan, M.D., P.a.
• Jada Manciaz-Sanford
• Manpreet Mangat, MD
• Ghulamhaider Manji
• Nasrullah Manji, M.D.
• Carol Ann Manley, M.ED.
• Kyle Manley, APRN
• Mann Eye Center, PA (Mann Eye Institute)

• Adult Health Nurse Practitioner in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.