ANGEL RENEE MANTAY (NPI# 1194238972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194238972 |
Entity Type | Individual |
Full Name | ANGEL RENEE MANTAY |
Credential | AGACNP-BC |
Practice Address |
1020 First Colonial Rd Ste A Virginia Beach VA 23454 |
Mailing Address |
1020 First Colonial Rd Ste A Virginia Beach VA 23454-3002 |
Practice Telephone | 7573951850 |
Mailing Telephone | 7573951850 |
Enumeration Date | 2017-11-15 |
Last Update Date | 2019-03-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
0024175623 | VA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
0024175623 | VA | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2790 Godwin Blvd Ste 205, Suffolk, VA 234348154 | 7579422566 |
Street Address |
1020 FIRST COLONIAL RD STE A |
City | VIRGINIA BEACH |
State | VA |
Zip Code | 23454 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124317391 | Charmaine G Silva-gata | Psychiatry & Neurology | 1020 First Colonial Rd Ste A, Virginia Beach, VA 23454-3002 | 2011-03-28 |
1407272859 | Sentara Medical Group | Psychologist | 1020 First Colonial Rd Ste A, Virginia Beach, VA 23454-3002 | 2014-03-10 |
1568899268 | Ellen N Nogueira | Nurse Practitioner | 1020 First Colonial Rd Ste A, Virginia Beach, VA 23454-3002 | 2013-09-26 |
1427315126 | Noah B Matilsky | Psychiatry & Neurology | 1020 First Colonial Rd Ste A, Virginia Beach, VA 23454 | 2012-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356994263 | Agape Consulting | Behavioral Analyst | 1216 Garth Court, Virginia Beach, VA 23454 | 2019-07-19 |
1831650266 | Amelia Jo Crutsinger | Physician Assistant | 1644 Kepler Bnd, Virginia Beach, VA 23454 | 2019-03-28 |
1538639158 | Bay Psychiatric II Inc | Counselor | 923 First Colonial Rd Suite 1821, Virginia Beach, VA 23454 | 2018-11-26 |
1487151759 | Akanksha Mohan | Student in an Organized Health Care Education/Training Program | 100 Mannng Drive, Chapel Hill, Nc 27514, Chapel Hill, NC 23454 | 2018-04-12 |
1275038580 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 1615 General Booth Blvd, Virginia Beach, VA 23454 | 2018-03-28 |
1346783164 | Tracy Chasse | Occupational Therapy Assistant | 1628 Old Donation Parkway, Virginia Beach, VA 23454 | 2016-11-28 |
1982066627 | Jennifer Mitchell | Speech-Language Pathologist | 2101 Agecroft Rd., Virginia Beach, VA 23454 | 2016-03-22 |
1659730562 | Rebecca Houvener | Psychologist | 1120 First Colonial Rd Ste 202, Virginia Beach, VA 23454 | 2016-02-19 |
1932581741 | Monica Jane Bailey | Nurse Practitioner | 2110 N Great Neck Rd, Virginia Beach, VA 23454 | 2015-06-29 |
1376930073 | Ashley A Burkholder | Family Medicine | 1024 First Colonial Rd Ste 104, Virginia Beach, VA 23454 | 2015-04-20 |
Find all providers in zip 23454 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154966265 | Resmi Thomas | Nurse Practitioner | 1296 Ferry Point Rd, Virginia Beach, VA 23464-5234 | 2019-11-12 |
1275074908 | Courtney Williams | Nurse Practitioner | 1300 Diamond Springs Rd Ste 503, Virginia Beach, VA 23455-3645 | 2017-03-14 |
1831492263 | Ryan Gorman | Nurse Practitioner | 4445 Corporation Ln Ste 264, Virginia Beach, VA 23462-3262 | 2010-12-07 |
1063405686 | Jennifer Field Brown | Nurse Practitioner | 1072 Laskin Rd, Suite 104, Virginia Beach, VA 23451-6364 | 2005-08-30 |
1396344693 | Edward James Evard | Nurse Practitioner | 260 Grayson Rd, Virginia Beach, VA 23462-4345 | 2020-10-19 |
1235746611 | Jamie Kate Diamond | Nurse Practitioner | 409 Birdneck Cir, Virginia Beach, VA 23451-5516 | 2020-09-29 |
1275158792 | Sayward Mccullough | Nurse Practitioner | 4460 Corporation Ln, Virginia Beach, VA 23462-3150 | 2020-06-10 |
1023655974 | Laura Lamonica | Nurse Practitioner | 4445 Corporation Ln, Virginia Beach, VA 23462-3262 | 2019-12-10 |
1184110991 | Wendy Anne Calender-howlett | Nurse Practitioner | 1300 Diamond Springs Rd Ste 503, Virginia Beach, VA 23455-3645 | 2018-07-04 |
1184112476 | Ronika Alice Robinson | Nurse Practitioner | 770 Lynnhaven Pkwy, Virginia Beach, VA 23452-7324 | 2018-04-23 |
Find all providers in VIRGINIA BEACH |
City | VIRGINIA BEACH |
Zip Code | 23454 |
Please comment or provide details below to improve the information on ANGEL RENEE MANTAY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.