Individual provider Active NPI

Leshawn Manus

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Pflugerville, TX
National Provider Identifier
1801370119
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Practice address
1704 Brandon Keller CT
Pflugerville, TX 78660-2959
Phone
(512) 698-3925
NPI assigned
Sep 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X TX Primary

Addresses

Primary practice location

1704 Brandon Keller CT
Pflugerville, TX 78660-2959

Mailing address

301 S Heatherwilde Blvd Unit 2136
Pflugerville, TX 78691-3987
Phone (512) 698-3925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1801370119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S HEATHERWILDE BLVD UNIT 2136",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786913987",
            "telephone_number": "512-698-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 BRANDON KELLER CT",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786602959",
            "telephone_number": "512-698-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUS",
        "first_name": "LESHAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-21",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.