Wilma Dar Mangidoyos, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN00163599 Issued in WA

Practice address

10344 14TH Ave S
Seattle, WA 98168-1689

Phone

(206) 245-1086

NPI assigned

Oct 25, 2018

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

State licenses

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1326515503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11412 SE 193RD TER",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980310038",
            "telephone_number": "206-209-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10344 14TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981681689",
            "telephone_number": "206-245-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGIDOYOS",
        "first_name": "WILMA",
        "middle_name": "DAR",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00163599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Mange, LMP
• Tyler Richard Mange, MD
• Katherine Hurley Mangen, PHD
• Charles A. Mangham Jr., MD, MS
• Madeline Mangiaracina, CNM, DNP
• Rita M Mangione-Smith
• Giovanna Mangione
• Jenna Marie Manglallan-Yang
• Lee Ann Lemus Manglo
• Timothy Mangolds I

• Registered Nurse in Seattle, WA
• Providers in Seattle, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.