Anisleidy Costa Manzano, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1038890 Issued in TX

Practice address

4828A Mount Houston Rd
Houston, TX 77093-1633

Phone

(832) 604-4900

NPI assigned

Nov 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Acm Healthcare Group,LLC

  • Primary Care Nurse Practitioner
  • Houston, TX
  • NPI 1750055406
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1861038507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9107 SHANGO LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770957060",
            "telephone_number": "832-815-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4828A MOUNT HOUSTON RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770931633",
            "telephone_number": "832-604-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA MANZANO",
        "first_name": "ANISLEIDY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "936782",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1038890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Coss Bu, MD
• Domani Davan Cosse, BSW, MSW
• Russein Cossy
• Costa Consultants, PA
• Daniel Costa Garcia, M.D.
• Costa Surgical, PA
• Lynz Ann Costa-Adams, LCSW
• Amber Quarles Costa, M.S. CCC/SLP
• Bruno Almeida Costa, MD
• Lourdes Maria Costa, OD

• Family Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.