MRS. LAURA KATHERINE MANGRUM (NPI# 1609258342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609258342 |
| Entity Type | Individual |
| Full Name | MRS. LAURA KATHERINE MANGRUM |
| Practice Address |
101 E State St Kennett Square PA 19348-3109 |
| Mailing Address |
316 Estella Ct Florence AL 35630-2874 |
| Practice Telephone | 2563814330 |
| Mailing Telephone | 9316073386 |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
101 E STATE ST |
| City | KENNETT SQUARE |
| State | PA |
| Zip Code | 19348-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194325530 | John Ross | Physical Therapy Assistant | 101 E State St, Kennett Square, PA 19348-3109 | 2020-10-26 |
| 1295347284 | Teresa Ann Canode | Occupational Therapist | 101 E State St, Kennett Square, PA 19348-3109 | 2020-08-20 |
| 1437772852 | Ruth Russell | Physical Therapy Assistant | 101 E State St, Kennett Square, PA 19348-3109 | 2020-05-20 |
| 1720616576 | Christina Lude | Occupational Therapy Assistant | 101 E State St, Kennett Square, PA 19348-3109 | 2020-03-28 |
| 1336783976 | Stacey Linn Andrade | Occupational Therapy Assistant | 101 E State St, Kennett Square, PA 19348-3109 | 2019-11-06 |
| 1013559939 | Robin Fountain | Physical Therapy Assistant | 101 E State St, Kennett Square, PA 19348-3109 | 2019-10-11 |
| 1386139293 | Samantha Ann Morrison | Physical Therapy Assistant | 101 E State St, Kennett Square, PA 19348-3109 | 2018-06-25 |
| 1245751494 | Melissa Loftin | Physical Therapist | 101 E State St, Kennett Square, PA 19348-3109 | 2017-06-28 |
| 1235663873 | Anne Widenhofer | Speech-Language Pathologist | 101 E State St, Kennett Square, PA 19348-3109 | 2017-04-19 |
| 1265979215 | Allison Yocum | Physical Therapy Assistant | 101 E State St, Kennett Square, PA 19348-3109 | 2017-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144832866 | Bradley Thomas Steese | Social Worker | Holcomb Behavioral Health Systems, 920 E. Baltimore Pike, Kennett Square, PA 19348 | 2020-08-24 |
| 1316319981 | Marie Daddario | Behavioral Analyst | 920 East Baltimore Pike, Holcomb Behavioral Health Systems, Kennett Square, PA 19348 | 2015-10-22 |
| 1578945291 | Therapeutic Guidance LLC | Social Worker | 500 Orchard Avenue, Kennett Square, PA 19348 | 2015-06-19 |
| 1265838858 | Nicole Zitarelli | Physical Therapist | 400 Mcfarlan Road, Kennett Square, PA 19348 | 2014-11-10 |
| 1013320613 | Andrew Casel | Physical Therapy Assistant | 101 East State Street Grs Hr Welcome Center, Kennett Square, PA 19348 | 2014-06-11 |
| 1821408428 | Katherine Scheponik | Occupational Therapist | 101 E. State St., Genesis Rehab Services, Kennet Square, PA 19348 | 2014-05-05 |
| 1518395359 | Scott James Sinick | Physical Therapist | 161 East State Street, Kennet Square, PA 19348 | 2013-10-14 |
| 1730520982 | Amanda Marie Mclean | Occupational Therapy Assistant | 101 State Street, Kennett Square, PA 19348 | 2013-07-16 |
| 1912254889 | Adrien M Trevisan | Dietitian, Registered | 639 Unionville Road, Kennett Square, PA 19348 | 2012-08-10 |
| 1659638781 | Stephanie N Strickland | Speech-Language Pathologist | 101 E State Street, Kennett Square, PA 19348 | 2012-04-13 |
| Find all providers in zip 19348 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053973727 | Lauren Christine Tandarich | Student in an Organized Health Care Education/Training Program | 1923 Marlboro Rd, Kennett Square, PA 19348-1906 | 2019-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1356942825 | Aisha Ghauri | Student in an Organized Health Care Education/Training Program | 645 Springhouse Ln, Hummelstown, PA 17036-7009 | 2020-11-02 |
| 1891395828 | Roopali Mahajan | Student in an Organized Health Care Education/Training Program | 4101 Spruce St Apt 108, Philadelphia, PA 19104-4059 | 2020-10-28 |
| 1629678925 | Jonathan Welch | Student in an Organized Health Care Education/Training Program | 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 | 2020-10-27 |
| 1093313157 | Betty M Beimel | Student in an Organized Health Care Education/Training Program | 5966 Route 66, Kane, PA 16735-3434 | 2020-10-12 |
| 1104432616 | Zach Quince | Student in an Organized Health Care Education/Training Program | 370 Birch St, Imperial, PA 15126-1158 | 2020-09-20 |
| 1073129862 | Philip Andrus | Student in an Organized Health Care Education/Training Program | 3420 Forbes Ave Fl 2, Pittsburgh, PA 15213-3203 | 2020-09-17 |
| 1992310049 | Rachana Amin | Student in an Organized Health Care Education/Training Program | 12 Fitzgerald Dr, Moosic, PA 18507-2105 | 2020-09-14 |
| 1992310767 | Natasha Ann Parrish | Student in an Organized Health Care Education/Training Program | Millersville University, School of Social Work, Strayer, 37 W. Frederick Street, Millersville, PA 17551 | 2020-09-09 |
| 1205440138 | Beth Ann Wagner | Student in an Organized Health Care Education/Training Program | 1444 E Main St, Douglassville, PA 19518-9116 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
| City | KENNETT SQUARE |
| Zip Code | 19348 |
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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.