JENNIFER LIZABETH MANGANELLO (NPI# 1013286269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013286269 |
| Entity Type | Individual |
| Full Name | JENNIFER LIZABETH MANGANELLO |
| Credential | NP |
| Practice Address |
407 S Schwartz Ave Suite 101 Farmington NM 87401 |
| Mailing Address |
Po Box 6210 Farmington NM 87499-6210 |
| Practice Telephone | 5056096770 |
| Practice Fax Number | 5056096775 |
| Mailing Telephone | 5056092258 |
| Mailing Fax Number | 5056092259 |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2018-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
CNP-01904 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APN.0993958-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2551 W 84th Ave, Westminster, CO 800313807 | 3035615010 | 3035615050 |
| Street Address |
407 S SCHWARTZ AVE SUITE 101 |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376542118 | Christopher Lesueur | Internal Medicine | 407 S Schwartz Ave, Ste 201, Farmington, NM 87401-5925 | 2005-07-14 |
| 1669921003 | Laprincess D Tso | Nurse Practitioner | 407 S Schwartz Ave, Suite 101, Farmington, NM 87401-5925 | 2016-09-27 |
| 1275981557 | Jessica A Conklin | Nurse Practitioner | 407 S Schwartz Ave, Suite 102, Farmington, NM 87401-5925 | 2016-05-27 |
| 1962878157 | Martha Jean Luhrs | Nurse Practitioner | 407 S Schwartz Ave, Suite 202, Farmington, NM 87401-5925 | 2015-08-11 |
| 1043693948 | Molly Patricia Hummel | Physician Assistant | 407 S Schwartz Ave, Suite 101, Farmington, NM 87401-5925 | 2015-07-09 |
| 1790195725 | Pierre Mckenzie | Nurse Practitioner | 407 S Schwartz Ave, Suite 202, Farmington, NM 87401-5925 | 2014-04-29 |
| 1811327901 | Katherine Rebecca Mccrea Jarvis | Registered Nurse | 407 S Schwartz Ave, Suite 102, Farmington, NM 87401-5925 | 2013-11-26 |
| 1205185261 | Mary Pickard | Physician Assistant | 407 S Schwartz Ave, Suite 202, Farmington, NM 87401-5925 | 2012-09-06 |
| 1356625917 | Tracie D Grace | Nurse Practitioner | 407 S Schwartz Ave, Suite 201, Farmington, NM 87401-5925 | 2011-09-30 |
| 1114224540 | Sudhakar Rendla | Pediatrics | 407 S Schwartz Ave, Suite 102, Farmington, NM 87401-5925 | 2011-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720543960 | Lia Sgambato | Nurse Practitioner | 263 Farmington Ave # 2875, Farmington, CT 06030-0001 | 2019-02-01 |
| 1295333458 | Brianne Catherine Bischoff | Nurse Practitioner | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-10-10 |
| 1619584026 | Sylvia Polanco | Nurse Practitioner | 263 Farmington Avenue, Farmington, CT 06030-8203 | 2020-09-29 |
| 1093324873 | Kaitlin Jeanne O'connor | Nurse Practitioner | 263 Farmington Avenue, Icu, University Tower, 1st Floor, Mail Code: 1131, Farmington, CT 06030 | 2020-07-28 |
| 1306494026 | Laura Anne Bishop | Nurse Practitioner | 263 Farmington Ave, Farmington, CT 06030-0001 | 2019-08-27 |
| 1376019448 | Molly Burrell Riggs | Nurse Practitioner | 407 S Schwartz Ave Ste 202, Farmington, NM 87401 | 2018-10-16 |
| 1588146351 | Abike Becroft | Nurse Practitioner | 263 Farmington Avenue, Farmington, CT 06030-8082 | 2018-08-29 |
| 1366920977 | William Odie Pansius | Nurse Practitioner | 263 Farmington Avenue, Farmington, CT 06030-4038 | 2018-08-06 |
| 1275026270 | Molly Anne Welch | Nurse Practitioner | 263 Farmington Ave, Farmington, CT 06030-0001 | 2018-06-13 |
| 1689176877 | Rebecca Franco | Nurse Practitioner | 263 Farmington Avenue, Farmington, CT 06030 | 2018-03-02 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
Please comment or provide details below to improve the information on JENNIFER LIZABETH MANGANELLO.
| 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.