Kristine A Mangente, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

724086 Issued in CA

Practice address

995 Bouquet Cir
Corona, CA 92881-3999

Phone

(951) 373-9122

NPI assigned

Jul 29, 2021

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Twin Hearts Senior Care II

  • Assisted Living Facility
  • Corona, CA
  • NPI 1386401461
  NPD Authorized official

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1487327987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 BOUQUET CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813999",
            "telephone_number": "951-373-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 BOUQUET CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813999",
            "telephone_number": "951-373-9122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2885 Antares Dr",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925036301",
            "country_code": "US",
            "telephone_number": "951-373-9122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGENTE",
        "first_name": "KRISTINE",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "724086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Corona",
            "affiliation": "N",
            "endpointDescription": "Work",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "995 Bouquet Cir",
            "city": "Corona",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928813999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Safa Manafi Varkiani
• Managed Homecare Inc
• Nancy Alejandra Mancilla
• Paul Matthew Mandelin, D.O.
• Eliza Mangalindan
• Ruben Manjarrez
• Meagan Kaye Mann
• Sandeep Kaur Mann, RDHAP
• Spiro Eddie Mansour
• Ahmad M. Mansury, M.D.

• Registered Nurse in Corona, CA
• Providers in Corona, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.