RUTH ROBERTA MANGINO (NPI# 1194961664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194961664 |
| Entity Type | Individual |
| Full Name | RUTH ROBERTA MANGINO |
| Credential | N.P. |
| Practice Address |
7330 N 99th Ave Ste 325 Glendale AZ 85307-3022 |
| Mailing Address |
3815 E Bell Rd Ste 2200 Phoenix AZ 85032-2139 |
| Practice Telephone | 6232091474 |
| Practice Fax Number | 6232091475 |
| Mailing Telephone | 6026333838 |
| Mailing Fax Number | 6026333845 |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2019-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP3232 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN087831 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 403458 | 05 | |
| MEDICARE | Z204343 | 01 |
| Street Address |
7330 N 99TH AVE STE 325 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85307-3022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386693976 | Lance Winter | Orthopaedic Surgery | 7330 N 99th Ave Ste 325, Glendale, AZ 85307-3003 | 2006-05-09 |
| 1962952358 | Laura Pomeroy | Dietitian, Registered | 7330 N 99th Ave Ste 325, Glendale, AZ 85307-3022 | 2016-10-10 |
| 1013256338 | Kelly Lynn Rauch | Nurse Practitioner | 7330 N 99th Ave Ste 325, Glendale, AZ 85307-3022 | 2013-02-06 |
| 1174818173 | Ryan Allan Pinnell | Surgery | 7330 N 99th Ave Ste 325, Glendale, AZ 85307-3003 | 2011-06-17 |
| 1831355643 | Kevin Wayne Potter | Surgery | 7330 N 99th Ave Ste 325, Glendale, AZ 85307-3022 | 2008-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154635761 | Aeroptics LLC | Optometrist | 7071 N 138th Av, Bldg 1540, Glendale, AZ 85307 | 2010-08-06 |
| 1902894579 | Daniela Nicosia | Optometrist | 7071 N 138th Ave, Luke Afb, AZ 85307 | 2005-10-07 |
| 1144633157 | Sharan Kaur Knott | Pharmacist | 10945 W Vista Ln, Glendale, AZ 85307-1645 | 2014-06-06 |
| 1841813961 | Yoshica Mitchell | Behavior Technician | 12923 W Lawrence Ct, Glendale, AZ 85307-1900 | 2020-05-22 |
| 1700328556 | Tonya Brown | Social Worker | 12912 W Mclellan Rd, Glendale, AZ 85307-1917 | 2016-11-10 |
| 1447806997 | Tamarra Kalamchi | Dentist | 7071 N 138th Ave Bldg 1540, Glendale, AZ 85307-2006 | 2019-08-12 |
| 1043623648 | Dr Larsen Eye Care Inc | Optometrist | 7071 N 138th Ave # 1552, Luke Afb, AZ 85307-2006 | 2014-06-11 |
| 1619519840 | Platinum Venture Group LLC | Durable Medical Equipment & Medical Supplies | 7071 N 138th Ave Bldg 1540, Glendale, AZ 85307-2006 | 2019-10-09 |
| 1710255989 | Optical Center | Technician/Technologist | 7071 N 138th Ave, Glendale, AZ 85307-2006 | 2011-12-02 |
| 1386088128 | Clifton Jamar Premo | Respiratory Therapist, Registered | 13517 W Glendale Ave, Apt 1135, Glendale, AZ 85307-2010 | 2013-04-23 |
| Find all providers in zip 85307 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790242758 | La Medical Clinic Inc | Nurse Practitioner | 501 W Glenoaks Blvd Ste 200, Glendale, CA 91202-4045 | 2019-02-26 |
| 1720518715 | Yulissa Familia | Nurse Practitioner | 6506 Myrtle Ave Fl 1, Glendale, NY 11385-6250 | 2017-06-13 |
| 1346600681 | Jackie Huang | Nurse Practitioner | 1505 Wilson Ter Ste 205, Glendale, CA 91206-4071 | 2016-02-29 |
| 1356685473 | Margarita Ukman | Nurse Practitioner | 6829 Myrtle Ave, Glendale, NY 11385-7234 | 2012-11-15 |
| 1659539419 | Ginger Lynn Harrison | Nurse Practitioner | 7776 N 58th Ave, Glendale, AZ 85301-7875 | 2008-05-29 |
| 1093760167 | Stacey Beth Gregory | Nurse Practitioner | 5701 W Talavi Blvd, Suite 180, Glendale, AZ 85306-1886 | 2006-05-24 |
| 1174598775 | Kristin N Smith | Nurse Practitioner | 5303 W Hackamore Dr, Glendale, AZ 85310-4418 | 2006-02-17 |
| 1023003829 | Ann Elizabeth Tyrrell | Nurse Practitioner | 8314 N 49th Dr, Glendale, AZ 85302-6307 | 2005-09-18 |
| 1891793089 | Levon Allen Ter-bagdasarian | Nurse Practitioner | 1560 E Chevy Chase Dr, Suite 130, Glendale, CA 91206-4197 | 2005-07-12 |
| 1841763240 | Shwe Phyo | Nurse Practitioner | 1812 Verdugo Blvd, Glendale, CA 91208-1407 | 2019-01-08 |
| Find all providers in GLENDALE | ||||
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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.