HEATHER NICOLE MANGRUM (NPI# 1013226026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013226026 |
| Entity Type | Individual |
| Full Name | HEATHER NICOLE MANGRUM |
| Other Name | HEATHER MANGRUM |
| Credential | FNP-C |
| Practice Address |
125 Crestview Park Dr Ste 2 Dickson TN 37055-2853 |
| Practice Telephone | 6157405233 |
| Practice Fax Number | 6157405226 |
| Mailing Telephone | 6157405233 |
| Mailing Fax Number | 6157405226 |
| Enumeration Date | 2010-09-26 |
| Last Update Date | 2018-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 15204 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1530456 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3443 Dickerson Pike Ste 320, Nashville, TN 372072523 | 6159889787 | 6159889797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376023572 | Heather Danielle Mangrum | Community Health Worker | 709 Davidson St, Tullahoma, TN 37388-3607 | 2018-08-16 |
| 1780057638 | Heather Melissa Mangrum | Speech-Language Pathologist | 139 W Lake Lee Rd, Greenville, MS 38701-9573 | 2015-11-01 |
| Street Address |
125 CRESTVIEW PARK DR STE 2 |
| City | DICKSON |
| State | TN |
| Zip Code | 37055-2853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144227778 | James M Roth | Otolaryngology | 125 Crestview Park Dr Ste 2, Dickson, TN 37055-2853 | 2005-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406186 | Raven Julia Jackson | Dentist | 445 Tn-46 S, Dickson, TN 37055 | 2020-08-03 |
| 1336767839 | Logan Newman | Student in an Organized Health Care Education/Training Program | 102 Us70 East, Suite 2, Dickson, TN 37055 | 2020-07-10 |
| 1720575012 | Vb Tennessee I Pllc | Dentist | 2027 Thornton Dr, Dickson, TX 37055 | 2018-04-23 |
| 1376075358 | Sharon Elizabeth Sharber | Nurse Practitioner | 111 Highway 70 E Ste E, Dickson, TN 37055 | 2017-03-29 |
| 1992255921 | Karen Alonzo | Occupational Therapy Assistant | 312 N Charlotte St, Dickson, TN 37055 | 2016-10-13 |
| 1356727408 | Aurora Pharmacy Inc | Pharmacy | 318 East College Street, Suite 102, Dickson, TN 37055 | 2015-07-30 |
| 1295121820 | Jeffrey Nicholas Williams | Pharmacy Technician | 120 Brazzell Rd, Dickson, TN 37055 | 2015-04-10 |
| 1760894398 | Joshua A. Vaughn | Physical Therapist | 766 Highway 46 South, Dickson, TN 37055 | 2014-06-02 |
| 1902217292 | Keith Payton | Dentist | 217 Highway 46 Ste D, Dickson, TN 37055 | 2014-05-08 |
| 1073953840 | John Harrison | Dentist | 134 Us-70, Dickson Pediatric Dentistry, Dickson, TN 37055 | 2013-06-26 |
| Find all providers in zip 37055 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659601094 | Mary E. V. Ferebee | Nurse Practitioner | 1904 Highway 46 S, Suite 3, Dickson, TN 37055-7744 | 2010-01-07 |
| 1780883447 | Mekonnen Kidane | Nurse Practitioner | 111 Hw 70 East, Dickson, TN 37055 | 2007-07-13 |
| 1982747317 | Tonia Foyt | Nurse Practitioner | 705 Highway 70 E, Suite 4 & 5, Dickson, TN 37055-2156 | 2007-02-15 |
| 1790705838 | Tonya Sue Davis | Nurse Practitioner | 1904 Highway 46 S Ste 3, Dickson, TN 37055-7745 | 2006-07-20 |
| 1518955699 | Todd A Warren | Nurse Practitioner | 415 Henslee Dr, Dickson, TN 37055-2166 | 2005-10-12 |
| 1891192787 | Syretta Perkins | Nurse Practitioner | 10400 Ramsey Way, Dickson, TN 37055-1087 | 2014-11-20 |
| 1023046794 | Katie Barnes | Nurse Practitioner | 200 Creekside Dr, Dickson, TN 37055-2176 | 2006-06-29 |
| 1295778785 | Holly Meeker | Nurse Practitioner | 111 Hwy 70 E, Dickson, TN 37055-2080 | 2006-06-13 |
| 1427096130 | Della Teresa Hemphill | Nurse Practitioner | 111 Hwy 70 E, Dickson, TN 37055-2080 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204038 | Ann Clare Guest | Nurse Practitioner | 1483 Goodbar Ave, Memphis, TN 38104-4912 | 2020-10-28 |
| 1770183055 | Paige Sellers | Nurse Practitioner | 104 Colbert Way, Nashville, TN 37206-1052 | 2020-10-27 |
| 1487253035 | John Dowlen | Nurse Practitioner | 808 Danbury Cove Pl, Signal Mountain, TN 37377-1777 | 2020-10-23 |
| 1144829839 | Douglas Arthur Mcinnis Jr. | Nurse Practitioner | 7464 River Road Pike, Nashville, TN 37209-5729 | 2020-10-22 |
| 1225636871 | Natalie Scott | Nurse Practitioner | 144 Gail Dr, Hendersonville, TN 37075-3494 | 2020-10-15 |
| 1952908154 | Courtney Diane Vance | Nurse Practitioner | 936 Station View Rd, Knoxville, TN 37919-2034 | 2020-10-01 |
| 1093322042 | Meghan Nicole Adams | Nurse Practitioner | 1508 Carl Adams Dr Unit 200, Murfreesboro, TN 37129-4375 | 2020-09-24 |
| 1871108092 | Kimberly Jean Palmer | Nurse Practitioner | 6940 Millersburg Rd, Christiana, TN 37037-5708 | 2020-09-14 |
| 1427663152 | Amber Nicole Fox | Nurse Practitioner | 2300 Patterson Street-endo Dept, Nashville, TN 37203 | 2020-09-10 |
| 1154936946 | Allyson Escott Dormois | Nurse Practitioner | 130 Flicker St, Memphis, TN 38104-5928 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
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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.