Janisha Kaur Manhas, MB, BCH, BAO

Primary specialty

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

Practice address

6600 Excelsior Boulevard
Suite 160
St. Louis Park, MN 55426-4744

Phone

(952) 993-7705

NPI assigned

May 13, 2019

Reactivated

Jul 23, 2020

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: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1942866207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 EXCELSIOR BLVD",
            "address_2": "SUITE 160",
            "city": "ST. LOUIS PARK",
            "state": "MN",
            "postal_code": "55426",
            "telephone_number": "952-993-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 EXCELSIOR BOULEVARD",
            "address_2": "SUITE 160",
            "city": "ST. LOUIS PARK",
            "state": "MN",
            "postal_code": "554264744",
            "telephone_number": "952-993-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANHAS",
        "first_name": "JANISHA",
        "middle_name": "KAUR",
        "name_prefix": "Ms.",
        "credential": "MB, BCH, BAO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "deactivation_date": "2020-01-13",
        "reactivation_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Mallow
• Erika-Nell Malvey-Dorn, M.D.,PH.D
• Carly Rae Manderfeld, LGSW
• Mandra
• Nina Mangabang
• Stephanie Christine Manias, APRN, CNP
• Ajaydas Thalappil Manikkan, MD, MPH
• Cynthia Ann Manning-Recker, MA MFT
• Carol Manning III
• Lynn Manning

• Student in an Organized Health Care Education/Training Program in St. Louis Park, MN
• Providers in St. Louis Park, MN by specialty
• Student in an Organized Health Care Education/Training Program in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.