Rebecca A Mangol, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

RN430791 Issued in OH

Practice address

2115 W Park Dr
Lorain, OH 44053-1138

Phone

(440) 989-4900

NPI assigned

Jul 20, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1043883929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7573 AKINS RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441334809",
            "telephone_number": "330-523-6231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 W PARK DR",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531138",
            "telephone_number": "440-989-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGOL",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN430791",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "RN430791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Maldonado
• Kathleen Marie Malear, MSN
• Lynmarie Ann Malec, RPH
• Christina Maley, FNP
• Hannah Mallory, PA-C
• Gloria J. Mantini, LICENSED SLP
• Richard Louis Marcucci, DDS
• Norberto R Marfori, M.D.
• Margie Cares
• Mark Marshall D.D.S. Inc.

• Addiction (Substance Use Disorder) Registered Nurse in Lorain, OH
• Providers in Lorain, OH by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.