LINDA H MANGUM (NPI# 1144352451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144352451 |
| Entity Type | Individual |
| Full Name | LINDA H MANGUM |
| Credential | WHNP |
| Practice Address |
203 Sharp St Lawrenceville VA 23868 |
| Mailing Address |
946 Skipwith Rd Boydton VA 23917-2100 |
| Practice Telephone | 4348480771 |
| Practice Fax Number | 4348483814 |
| Mailing Telephone | 4347386986 |
| Mailing Fax Number | 4347389521 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
0017138041 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
203 SHARP ST |
| City | LAWRENCEVILLE |
| State | VA |
| Zip Code | 23868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285626481 | Christopher J Ackerman | Internal Medicine | 203 Sharp St, Lawrenceville, VA 23868-1615 | 2005-08-16 |
| 1710311949 | James River Cardiology, P.c | Internal Medicine | 203 Sharp St, Lawrenceville, VA 23868-1615 | 2013-08-23 |
| 1881624682 | Lawrenceville Primary Care PC | Internal Medicine | 203 Sharp St, Lawrenceville, VA 23868 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313868 | Tri Counties Behavioral Health Services, LLC | Community/Behavioral Health | 1807 Piney Woods Road, Lawrenceville, VA 23868 | 2020-10-14 |
| 1902376551 | Lekicha Monique Cabiness | Counselor | 102 Hicks St. Suite 303, Lawrenceville, VA 23868 | 2018-11-27 |
| 1366926057 | Jpm Transportation LLC | Private Vehicle | 517 Sturgeon Road, Lawrenceville, VA 23868 | 2018-09-19 |
| 1538650098 | Pansy Smith Barner | Home Health | 2377 Old Stage Road, Lawrenceville, VA 23868 | 2018-05-21 |
| 1679084644 | Rita Latrice Seward | Non-emergency Medical Transport (VAN) | 201 North Hills Drive, 201 North Hills Drive, Lawrenceville, VA 23868 | 2017-10-18 |
| 1942726864 | Sonata Wall | Driver | 226 Brunswick Village Dr, Lawrenceville, VA 23868 | 2017-08-22 |
| 1427573971 | Leon Howard Smith II | Driver | 10460 Christanna Hwy, Lawrenceville, VA 23868 | 2017-08-06 |
| 1669994034 | Bernadette Tisdale Cook | Contractor | 2022 Poor House Road, Lawrenceville, VA 23868 | 2017-07-07 |
| 1689047771 | Shevon Valentine | Point of Service | 1807 Piney Woods Rd, Lawrenceville, VA 23868 | 2015-11-11 |
| 1134501943 | Rickie Leonard Seward | Contractor | 218 Travis Dr, Lawrenceville, VA 23868 | 2015-06-29 |
| Find all providers in zip 23868 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205801420 | Debra L Crowley | Nurse Practitioner | 324 W Pike St, Lawrenceville, GA 30045-4880 | 2006-02-21 |
| 1497720601 | Rita C Skelton | Nurse Practitioner | 15 S Clayton St, Lawrenceville, GA 30045-5715 | 2006-02-21 |
| 1184699852 | Elizabeth E Daniel | Nurse Practitioner | 2570 Riverside Parkway, Lawrenceville, GA 30046-0897 | 2006-02-17 |
| 1295273571 | Amy Davidson | Nurse Practitioner | 500 Medical Center Blvd, Suite 365, Lawrenceville, GA 30046-8708 | 2017-02-07 |
| 1770950578 | Elizabeth Nicole Gray | Nurse Practitioner | 500 Medical Center Blvd, Suite 210, Lawrenceville, GA 30046-8708 | 2015-08-27 |
| 1609258870 | Josephine Brinkley | Nurse Practitioner | 500 Medical Center Blvd, Suite 310, Lawrenceville, GA 30046-8708 | 2015-06-24 |
| 1124437991 | Ashley Grimes | Nurse Practitioner | 761 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2014-08-06 |
| 1366622250 | Crystal Ann Ledwith | Nurse Practitioner | 500 Medical Center Blvd, Suite 290, Lawrenceville, GA 30045-8708 | 2007-11-07 |
| 1881748952 | Victoria A Roebuck | Nurse Practitioner | 761 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2007-01-23 |
| 1356495436 | Kristine E Miller | Nurse Practitioner | 761 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2007-01-23 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 23868 |
Please comment or provide details below to improve the information on LINDA H MANGUM.
| 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.