KANSUZ MARIE MANGELSDORF (NPI# 1457791824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457791824 |
| Entity Type | Individual |
| Full Name | KANSUZ MARIE MANGELSDORF |
| Credential | FNP |
| Practice Address |
6200 I-40 W Amarillo TX 79106-2512 |
| Practice Telephone | 8063549764 |
| Practice Fax Number | 8063552728 |
| Mailing Telephone | 8063549764 |
| Mailing Fax Number | 8063552728 |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2019-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP123878 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
702520 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1616 S Kentucky St Ste B100, Amarillo, TX 791022224 | 8063589400 | 8063550134 |
| Street Address |
6200 I-40 W |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106-2512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245234293 | Anthony J Agostini | Internal Medicine | 6200 I-40 W, Amarillo, TX 79106-2512 | 2005-06-08 |
| 1033429212 | Sandra Hernandez | Nurse Practitioner | 6200 I-40 W, Amarillo, TX 79106-2512 | 2010-10-20 |
| 1447424007 | David Gregory Brabham | Internal Medicine | 6200 I-40 W, Amarillo, TX 79106-2512 | 2008-04-15 |
| 1578634424 | Amber Soto | Physician Assistant | 6200 I-40 W, Amarillo, TX 79106-2512 | 2006-11-13 |
| 1659312775 | Sammy Lane Cox | Internal Medicine | 6200 I-40 W, Amarillo, TX 79106-2512 | 2006-06-09 |
| 1912952581 | Assadour Assadourian | Internal Medicine | 6200 I-40 W, Amarillo, TX 79106-2512 | 2006-05-23 |
| 1376598771 | Cardiology Center of Amarillo | Internal Medicine | 6200 I-40 W, Amarillo, TX 79106-2512 | 2006-05-23 |
| 1528057379 | Ronald Lowell Chaffin | Internal Medicine | 6200 I-40 W, Amarillo, TX 79106-2512 | 2005-10-14 |
| 1720076664 | Joel C. Osborn | Internal Medicine | 6200 I-40 W, Amarillo, TX 79106-2512 | 2005-10-13 |
| 1093703050 | Monte L. Slatton | Internal Medicine | 6200 I-40 W, Amarillo, TX 79106-2512 | 2005-10-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| Find all providers in zip 79106 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831634922 | Shonda Schoon | Clinical Nurse Specialist | 2001 S Coulter St, 2001 S Coulter St., Amarillo, TX 79106-2521 | 2016-12-27 |
| 1881070829 | Virgina Wright | Clinical Nurse Specialist | 1215 S Coulter St, Suite 302, Amarillo, TX 79106-1758 | 2015-07-31 |
| 1073743332 | Elizabeth G Blodgett | Clinical Nurse Specialist | 3440 Bell St Unit 122, Amarillo, TX 79109-4100 | 2009-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952103 | Elizabeth Wanjiku Muita | Clinical Nurse Specialist | 4206 Stoney Knoll Ln, Katy, TX 77494-1055 | 2020-11-07 |
| 1558962456 | Keara Rona' Johnson | Clinical Nurse Specialist | 2775 N State Highway 360 Apt 1021, Grand Prairie, TX 75050-7810 | 2020-11-06 |
| 1417503624 | Kamilah Jewel Lyon | Clinical Nurse Specialist | 1111 S Houston Ave # A, Humble, TX 77338-4820 | 2019-08-13 |
| 1578123402 | Carrie Viola Phillips | Clinical Nurse Specialist | 9478 Homestead Ln., Forney, TX 75126 | 2019-06-13 |
| 1073088571 | Lynne Darlene Piascik | Clinical Nurse Specialist | 1643 County Road 2291, Cleveland, TX 77327-0450 | 2018-10-11 |
| 1558843144 | Abc Health Connection, Inc. | Clinical Nurse Specialist | 2019 Crawford St Rm 128, Houston, TX 77002-9002 | 2018-08-30 |
| 1225570096 | Kimberly Young | Clinical Nurse Specialist | 3234 Mossy Elm Ct, Houston, TX 77059-3228 | 2016-11-10 |
| 1245772128 | Wallace Watts Jr. | Clinical Nurse Specialist | 101 Potasio Street, Fabens, TX 79838 | 2016-11-09 |
| 1205378239 | Scotty R Ortega Md | Clinical Nurse Specialist | 2487 E 11th Street, Odessa, TX 79761 | 2016-11-08 |
| 1184179574 | Tamitha Elaine Mackey | Clinical Nurse Specialist | 18419 Vanhorn Ct, Spring, TX 77379-5153 | 2016-08-16 |
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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.