Mistina Mano Manoharan

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

352691 Issued in LA

Practice address

17240 Heartbeat Cir
Covington, LA 70435-5757

Phone

(985) 867-3073

NPI assigned

Jul 8, 2026

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1783468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1871411793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17240 HEARTBEAT CIR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704355757",
            "telephone_number": "985-867-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17240 HEARTBEAT CIR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704355757",
            "telephone_number": "985-867-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOHARAN",
        "first_name": "MISTINA MANO",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-08",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "LA",
            "license": "352691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christel Cary Malinski, MD
• Harvey L Malone, MD
• Mandeville Private Physician Group
• Joshua Michael Manguno, LCSW
• Kelsey Hershey Manguno, MD
• Cyrus Jon Mansouri, DDS
• Laiyatu E. B. Manya, PSYD
• Demetrius M Maraganore, M.D.
• Deairea Marchand, LOT
• Richard G Marek Jr., MD

• Student in an Organized Health Care Education/Training Program in Covington, LA
• Providers in Covington, LA by specialty
• Student in an Organized Health Care Education/Training Program in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.