Individual provider Active NPI

Daniel Manesh, DNP, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1780283234
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1031933 Issued in TX
Practice address
915 S Laredo St
San Antonio, TX 78204-3211
Phone
(210) 277-1418
Fax
(210) 277-1458
NPI assigned
Oct 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 861682 TX
Family Nurse Practitioner 363LF0000X 1031933 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1031933 TX Primary

Addresses

Primary practice location

915 S Laredo St
San Antonio, TX 78204-3211

Mailing address

9414 Pegasus Run Rd
San Antonio, TX 78254-6216
Phone (210) 957-9382

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
I20210401000178 TX Practitioner - Nurse Practitioner 7315354727 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert G. Szewc, M.D., P.a.Group PAC ID 2365339751, 4 clinicians

Practice addresses (Care Compare)

915 S Laredo St
Suite 200
San Antonio, TX 78204-3211
Phone (210) 277-1418

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
861682TXMDRegistered Nurse
1031933TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ucp Physicians of Central Texas, PLLC CurrentSince May 11, 2022 Accepting new patients
Robert G. Szewc, M.D., P.a. CurrentSince Jul 1, 2024 Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince May 11, 2022 Accepting new patients
SNG - Barlite San Saba Dialysis Centers LP PastSince Nov 17, 2024 Accepting new patients

Locations

6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627

1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330

1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100

315 N San Saba
Ste 102
San Antonio, TX 78207
Phone (210) 224-1079

915 S Laredo St
San Antonio, TX 78204
Phone (210) 798-1955

915 S Laredo St
#200
San Antonio, TX 78204
Phone (210) 798-1965

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1603584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1780283234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9414 PEGASUS RUN RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782546216",
            "telephone_number": "210-957-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 S LAREDO ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782043211",
            "telephone_number": "210-277-1418",
            "fax_number": "210-277-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANESH",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-25",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "861682",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1031933",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1031933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.