Amy Yancy Mangum, MSN, NNP

Primary specialty

Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X

License

300159 Issued in NC

Practice address

5524 Hospital N
Box 100500 Medical Center
Durham, NC 27710-0001

Phone

(919) 970-8255

Fax

(919) 681-6065

NPI assigned

Jan 30, 2013

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: amangum60689@direct.medicine.duke.edu

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.

• Duke University Health System, Inc.

  • Internal Medicine Physician
  • Durham, NC
  • NPI 1376574798
  NPD (past)

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1114265824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 ERWIN RD",
            "address_2": "SUITE 504, NEONATOLOGY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053824",
            "telephone_number": "919-970-8255",
            "fax_number": "919-681-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5524 HOSPITAL N",
            "address_2": "BOX 100500 MEDICAL CENTER",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277100001",
            "telephone_number": "919-970-8255",
            "fax_number": "919-681-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGUM",
        "first_name": "AMY",
        "middle_name": "YANCY",
        "credential": "MSN, NNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "NC",
            "license": "300159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vishal Arunbhai Mandge, M.D.
• Quinton Mandle, MD
• Daniel Mangiapani
• Lisa C. Mangino, PT, DPT, PCS, C/NDT
• Mangum Family Care
• Craig Alan Mangum, MD
• Kendra Manhertz
• Rebecca Manitsas
• Varsha Manjunath, M.D.
• Mehul Vipul Mankad, M.D.

• Critical Care Neonatal Nurse Practitioner in Durham, NC
• Providers in Durham, NC by specialty
• Critical Care Neonatal Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.