Individual provider Active NPI

Tammy Lea Mangual, DNP, ARNP-C

  • Adult Health Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1013942473
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
3311522 Issued in FL
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

Updated by the provider on May 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
305303200MedicaidFL

Other names 1

  • Tammy Lea Archibald/Ceballos Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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, ID6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20060227000035 FL Practitioner - Nurse Practitioner 3173539392 Reassigns benefits to 3 organizations
I20251021002354 CA Practitioner - Nurse Practitioner 3173539392 Reassigns benefits to 1 organization
I20251111001583 WA Practitioner - Nurse Practitioner 3173539392 Reassigns benefits to 2 organizations
I20251130000125 OR Practitioner - Nurse Practitioner 3173539392 Reassigns benefits to 2 organizations
I20251231002465 UT Practitioner - Nurse Practitioner 3173539392 Reassigns benefits to 2 organizations
I20260202000150 ID Practitioner - Nurse Practitioner 3173539392 Reassigns benefits to 1 organization

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
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3311522FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Santibanez Pac Idaho CurrentSince Dec 3, 2025 Accepting new patients
Altea Medical Florida PLLC CurrentSince Oct 2, 2025 Accepting new patients
Post Acute Medical PLLC CurrentSince Oct 2, 2025 Accepting new patients
Altea Medical Washington PLLC CurrentSince Nov 1, 2025 Accepting new patients
Santibanez Pac Utah CurrentSince Oct 18, 2025 Accepting new patients
Altea Medical Oregon LLC CurrentSince Oct 2, 2025 Accepting new patients
Longevity Clinical LTC Associates of Florida PLLC CurrentSince Jan 24, 2022 Accepting new patients
Altea Medical California PC CurrentSince Oct 2, 2025 Accepting new patients
Chandra, Gayden, Patel and Associates Past Accepting new patients
Passion Quest, Inc. Past Accepting new patients
The Stingl Family Foundation, Inc PastSince May 7, 2016 Accepting new patients
Charles H Croft MD PA PastSince Jan 1, 2017 Accepting new patients
Oahu Home Care LLC PastSince Mar 1, 2018 Accepting new patients
Brevard Anesthesia Services PA PastSince Dec 1, 1999 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEBHBA
  • Direct secure messaging: 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.

View all 14

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

Verify at the official NPI Registry.