Caitlin Mangalaw

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

202536 Issued in ND

Practice address

3902 13TH Ave S
Fargo, ND 58103-3357

Phone

(701) 364-6600

NPI assigned

Oct 27, 2026

Last updated

Oct 27, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1793059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793059200000",
    "number": "1104724434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 CENTER ST N",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580753001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 13TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033357",
            "telephone_number": "701-364-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGALAW",
        "first_name": "CAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-27",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ND",
            "license": "202536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Maly, RN
• Mama Homecare LLC
• Rushana Manatova, MD
• Michael David Manchak, M.D.
• Orville S Mandan, LAC
• Ani Celine Mangold, PHD, LP
• Saraswathy Nonesupplied Manickavasagam, MBBS
• Heeraimangalore S Manjunath, MD
• Vanessa Manlove
• Emma Mann

• Registered Nurse in Fargo, ND
• Providers in Fargo, ND by specialty
• Registered Nurse in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2026; 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.