Individual provider Active NPI

Jessica Manuel

  • Community Based Hospice Care Agency
  • Kirbyville, TX
National Provider Identifier
1811635956
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Practice address
26834 US Hwy 96 S
Kirbyville, TX 75956
Phone
(409) 207-2215
NPI assigned
May 26, 2022
Last updated
Mar 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

26834 US Hwy 96 S
Kirbyville, TX 75956

Mailing address

26834 US Hwy 96 S
Kirbyville, TX 75956
Phone (409) 207-2215

Other practice location 1

26834 US Hwy 96 S
Kirbyville, TN 75956
Phone (409) 207-2215

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL junebuglp@gmail.com Health Information Exchange (HIE)
CONNECT URL junebuglp@gmail.com Health Information Exchange (HIE)

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": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1811635956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26834 US HWY 96 S",
            "city": "KIRBYVILLE",
            "state": "TX",
            "postal_code": "75956",
            "telephone_number": "409-207-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26834 US HWY 96 S",
            "city": "KIRBYVILLE",
            "state": "TX",
            "postal_code": "75956",
            "telephone_number": "409-207-2215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26834 US Hwy 96 S",
            "address_purpose": "LOCATION",
            "city": "Kirbyville",
            "state": "TN",
            "postal_code": "75956",
            "country_code": "US",
            "telephone_number": "409-207-2215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "junebuglp@gmail.com",
            "affiliation": "N",
            "endpointDescription": "junebuglp@gmail.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "26834 US Hwy 96 S",
            "city": "Kirbyville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "75956",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "junebuglp@gmail.com",
            "affiliation": "N",
            "endpointDescription": "junebuglp@gmail.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "junebuglp@gmail.com",
            "address_1": "26834 US Hwy 96 S",
            "city": "Kirbyville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "75956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kirbyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.