MRS. CRISTIE TAMAR MANGRUM (NPI# 1982046199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982046199 |
| Entity Type | Individual |
| Full Name | MRS. CRISTIE TAMAR MANGRUM |
| Practice Address |
3139 Fairview St Apt 202 Chesapeake VA 23325-3219 |
| Practice Telephone | 7579623671 |
| Mailing Telephone | 7579623671 |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2013-07-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3139 FAIRVIEW ST APT 202 |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23325-3219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275165532 | Ife Michelle Milligan | Social Worker | 1509 Oleander Ave, Chesapeake, VA 23325 | 2020-02-05 |
| 1558722256 | Denise Simpson | Social Worker | 3004 Elbyrne Drive, Chesapeake, VA 23325 | 2016-03-09 |
| 1124195813 | Cecil J Carroll | Dentist | 4310 Indian River Road, Ste 1, Chesapeake, VA 23325 | 2006-11-29 |
| 1790870665 | Joy Marie Cocchiola | Dentist | 931 Providence Road, Chesapeake, VA 23325 | 2006-10-04 |
| 1396836383 | Ff Acquisition LLC | Durable Medical Equipment & Medical Supplies | 211 15 Providence Rd, Chesapeake, VA 23325 | 2006-09-27 |
| 1326052986 | Larry Howard Kagan | Family Medicine | 1016 Justis St, Chesapeake, VA 23325 | 2006-07-28 |
| 1316476773 | Evelyn Lorraine Dickson | Driver | 2116 Allison Dr, Chesapeake, VA 23325 | 2017-06-08 |
| 1629155122 | Indian River Family Practice PC | Family Medicine | 1016 Justis St, Chesapeake, VA 23325 | 2006-11-01 |
| 1396755948 | Robert Bernard Laibstain | Family Medicine | 1016 Justis St, Chesapeake, VA 23325 | 2006-08-08 |
| 1649318247 | Michael Dale Turck | Dentist | 931 Providence Rd, Chesapeake, VA 23325-0931 | 2007-02-03 |
| Find all providers in zip 23325 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629419569 | Lacreasia Darnessa Mcdonald | Developmental Therapist | 1717 Rock Bridge Mews, Unit A, Chesapeake, VA 23320-7444 | 2013-07-08 |
| 1558656595 | Play To Grow Pllc | Developmental Therapist | 3216 Meadowbrook Lane, Chesapeake, VA 23321 | 2011-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508388612 | Lopez & Associates Therapy Group, PC | Developmental Therapist | 1602 Belle View Blvd., Suite 735, Alexandria, VA 22307 | 2017-07-10 |
| 1861843211 | Samantha Watson | Developmental Therapist | 4280 Cotswolds Hill Ln, Fairfax, VA 22030-4418 | 2016-06-27 |
| 1457701047 | Cynthia Martinez | Developmental Therapist | 780 Lynnhaven Parkway, Suite 400, Virginia Beach, VA 23452 | 2016-06-15 |
| 1821459983 | Diana Barker | Developmental Therapist | 5 Commercial Pl, Newport News, VA 23606-1339 | 2016-03-16 |
| 1760849954 | Nicole Johnson | Developmental Therapist | 58 Garden Dr, Alexandria, VA 22304-4928 | 2016-01-20 |
| 1891179859 | Laura Fitzpatrick | Developmental Therapist | 8059 Stillbrooke Rd, Manassas, VA 20112-4602 | 2015-07-18 |
| 1669859039 | Emily Ann Mcgrath | Developmental Therapist | 8750 Bradley Forge Dr, Manassas, VA 20112-4527 | 2015-05-05 |
| 1295131985 | Rachel Diane Douglass | Developmental Therapist | 40 Egret Ct, Stafford, VA 22554-7776 | 2014-11-07 |
| 1114321577 | Tamira Mckinley | Developmental Therapist | 225 A View Ave, Unit 107, Norfolk, VA 23503 | 2014-10-14 |
| 1851792071 | Stephanie Quirk | Developmental Therapist | 12041 Odion Ln, Woodbridge, VA 22192-5342 | 2014-09-07 |
| Find all providers with the same taxonomy | ||||
| City | CHESAPEAKE |
| Zip Code | 23325 |
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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.