Individual provider Active NPI

Lesley Patricia Manautou

  • Speech-Language Assistant
  • Brownsville, TX
National Provider Identifier
1871832014
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
35309 Issued in TX
Practice address
835 N Expressway
Suite a
Brownsville, TX 78520-6831
Phone
(956) 554-7006
NPI assigned
Feb 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 35309 TX Primary

Addresses

Primary practice location

835 N Expressway
Suite a
Brownsville, TX 78520-6831

Mailing address

835 N Expressway
Suite a
Brownsville, TX 78520-6831
Phone (956) 554-7006

Other identifiers 2

IdentifierTypeStateIssuer
45-4849OtherTXMEDICARE
169033101MedicaidTX

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

State licenses

LicenseStateTypeSpecialty
35309TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Medical Investments, Inc. Past Accepting new patients
Bright Medical Investments, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1871832014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 N EXPRESSWAY",
            "address_2": "SUITE A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785206831",
            "telephone_number": "956-554-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 N EXPRESSWAY",
            "address_2": "SUITE A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785206831",
            "telephone_number": "956-554-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANAUTOU",
        "first_name": "LESLEY",
        "middle_name": "PATRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "35309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "45-4849",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169033101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.