Active NPI
Tammy Lea Mangual, DNP, ARNP-C
- Adult Health Nurse Practitioner
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 3311522
- Practice address
- 501 Great Circle Rd FL 3
Nashville, TN 37228-1317 - Phone
- (615) 436-9060
- Fax
- (615) 235-9725
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 3311522 | FL | Primary |
Addresses
Primary practice location
501 Great Circle Rd FL 3
Nashville, TN 37228-1317
Mailing address
156 Clemente Dr
Satellite Beach, FL 32937-5709
Phone (321) 432-0573
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 305303200 | Medicaid | FL |
Other names 1
- Tammy Lea Archibald/Ceballos
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tammy.mangual@237407481626628.direct.elationemr.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CA, WA, OR, UT, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5520 Bridgeport Way W
University Place, WA 98467-2041
Phone (877) 883-9430
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3311522 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santibanez Pac Idaho | Current | Accepting new patients | |
| Altea Medical Florida PLLC | Current | Accepting new patients | |
| Post Acute Medical PLLC | Current | Accepting new patients | |
| Altea Medical Washington PLLC | Current | Accepting new patients | |
| Santibanez Pac Utah | Current | Accepting new patients | |
| Altea Medical Oregon LLC | Current | Accepting new patients | |
| Longevity Clinical LTC Associates of Florida PLLC | Current | Accepting new patients | |
| Altea Medical California PC | Current | Accepting new patients | |
| Chandra, Gayden, Patel and Associates | Past | Accepting new patients | |
| Passion Quest, Inc. | Past | Accepting new patients | |
| The Stingl Family Foundation, Inc | Past | Accepting new patients | |
| Charles H Croft MD PA | Past | Accepting new patients | |
| Oahu Home Care LLC | Past | Accepting new patients | |
| Brevard Anesthesia Services PA | Past | Accepting new patients |
Locations (25 of 42)
400 E Rivulon Blvd
Ste 301
Gilbert, AZ 85297
400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297
2353 23rd St
Eureka, CA 95501
Phone (704) 445-3261
2321 Newburg Rd
Fortuna, CA 95540
Phone (707) 725-4457
5696 Lake Murray Blvd
La Mesa, CA 91942
Phone (619) 460-5225
517 S A St
Madera, CA 93638
Phone (559) 673-9228
2424 M St
Merced, CA 95340
Phone (209) 723-2442
2124 57th Ave
Oakland, CA 94621
Phone (510) 261-2628
39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053
700 E Highland Ave
Redlands, CA 92374
Phone (909) 792-5083
3000 N Gate Rd
Seal Beach, CA 90740
Phone (562) 594-5790
9107 Davis Rd
Stockton, CA 95209
Phone (209) 478-6488
2005 River St
Susanville, CA 96130
Phone (530) 257-5341
13333 Fenton Ave
Sylmar, CA 91342
Phone (818) 367-1033
535 Auto Center Dr
Watsonville, CA 95076
Phone (831) 724-0875
7225 Boca del Mar Dr
Boca Raton, FL 33433
Phone (561) 362-9644
1104 N Main St
Bushnell, FL 33513
Phone (352) 568-8777
1851 Elkcam Blvd
Deltona, FL 32725
Phone (386) 789-3769
870 Patricia Ave
Dunedin, FL 34698
Phone (727) 734-8861
1010 Carpenters Way
Lakeland, FL 33809
Phone (813) 505-8889
4300 Rock Island Rd
Lauderhill, FL 33319
Phone (954) 309-1126
1404 NW 22nd St
Miami, FL 33142
Phone (305) 325-1050
991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809
190 NE 191st St
North Miami Beach, FL 33179
Phone (305) 651-9690
11770 US Highway 1
Ste 102E
Palm Beach Gardens, FL 33408
Phone 56181524270
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GEBHBA
- tammy.mangual@237407481626628.direct.elationemr.com
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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FL, OR, UT, WA
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- Geriatric Medicine (Internal Medicine) Physician
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- NPI 1174302954
-
- Geriatric Medicine (Internal Medicine) Physician
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- NPI 1083493860
-
- Geriatric Medicine (Internal Medicine) Physician
- Portland, OR
- NPI 1184451254
-
- Geriatric Medicine (Internal Medicine) Physician
- Everett, WA
- NPI 1609655497
-
- Primary Care Nurse Practitioner
- Lauderhill, FL
- NPI 1639743750
-
- Geriatric Medicine (Internal Medicine) Physician
- Idaho Falls, ID
- NPI 1346015948
-
- Geriatric Medicine (Internal Medicine) Physician
- Salt Lake City, UT
- NPI 1881469484
-
- Anesthesiology Physician
- Melbourne, FL
- NPI 1699881664
-
- Internal Medicine Physician
- Melbourne, FL
- NPI 1639238793
-
- Interventional Cardiology Physician
- Melbourne, FL
- NPI 1285806869
-
- Home Health Agency
- Melbourne, FL
- NPI 1073921284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1013942473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 CLEMENTE DR",
"city": "SATELLITE BEACH",
"state": "FL",
"postal_code": "329375709",
"telephone_number": "321-432-0573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 GREAT CIRCLE RD FL 3",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372281317",
"telephone_number": "615-436-9060",
"fax_number": "615-235-9725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGUAL",
"first_name": "TAMMY",
"middle_name": "LEA",
"name_prefix": "Dr.",
"credential": "DNP, ARNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "3311522",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "305303200",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tammy.mangual@237407481626628.direct.elationemr.com",
"affiliation": "N",
"endpointDescription": "CareBridge Medical Group-Telehealth",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EMR",
"address_1": "926 Main St",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "372063614",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "TAMMY",
"last_name": "ARCHIBALD/CEBALLOS",
"middle_name": "LEA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.