MS. TAMARA LITQUINNIE MANGUM (NPI# 1770094179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770094179 |
| Entity Type | Individual |
| Full Name | MS. TAMARA LITQUINNIE MANGUM |
| Credential | NP |
| Practice Address |
101 Cabarrus Ave E Concord NC 28025-3699 |
| Practice Telephone | 8888497379 |
| Practice Fax Number | 8558577333 |
| Mailing Telephone | 8888497379 |
| Mailing Fax Number | 8558577333 |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2020-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
5010004 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 800 Tiffany Blvd Ste 101, Rocky Mount, NC 278041807 | 2679610605 | 8778762604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023292299 | Tamara Mangum | Occupational Therapist | 1663 Noyes Ave, Irvine, CA 92606 | 2007-12-24 |
| Street Address |
101 CABARRUS AVE E |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-3699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215936026 | Rhonda Sanderson Lowry | Family Medicine | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2005-07-14 |
| 1013542315 | Kassie Simmons | Registered Nurse | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2020-03-06 |
| 1942833868 | Jennifer Dawn Tilley | Registered Nurse | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2020-02-19 |
| 1386275006 | Elizabeth Barnhill-blackwell | Registered Nurse | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2020-01-31 |
| 1518506997 | Christyle Rainey | Nurse Practitioner | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2020-01-02 |
| 1083250393 | Julia Guerrero | Nurse Practitioner | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2019-11-21 |
| 1780225458 | Oscar Njihi | Nurse Practitioner | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2019-10-03 |
| 1578125019 | Mary Anne Berry | Nurse Practitioner | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2019-07-05 |
| 1114583275 | Leigh W Cox | Social Worker | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2019-05-14 |
| 1508338542 | Kimberly Leigh Driver | Nurse Practitioner | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2018-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477005205 | Richard Lapage | Nurse Practitioner | 194a Pleasant St, Concord, NH 03301-2903 | 2016-10-27 |
| 1275991168 | Li Chin Sun | Nurse Practitioner | 131 Ornac Ste 610, Concord, MA 01742-4162 | 2016-02-05 |
| 1457429136 | Mary Frances Nagel | Nurse Practitioner | 254 Pleasant Street, Concord, NH 03301 | 2006-12-01 |
| 1205825296 | Julianne Murthi | Nurse Practitioner | 239 Pleasant St, Concord, NH 03301-7504 | 2005-10-21 |
| 1093286015 | Shadara King | Nurse Practitioner | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2018-12-17 |
| 1700394590 | Ashley Pickering Brown | Nurse Practitioner | 133 Old Road To Nine Acre Corner, Emerson Hospital Nursing Education, Concord, MA 01742 | 2018-01-16 |
| 1417491960 | Victoria Linda Gay | Nurse Practitioner | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2016-12-16 |
| 1306388020 | Meghan Tanglis | Nurse Practitioner | 330 Baker Ave, Concord, MA 01742-2129 | 2016-11-11 |
| 1831547603 | David Black | Nurse Practitioner | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2016-06-02 |
| 1548633068 | Jennifer L. Taylor | Nurse Practitioner | 248 Pleasant St, Suite G200, Concord, NH 03301-2588 | 2015-11-05 |
| Find all providers in CONCORD | ||||
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| 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.