Mary K Mangione, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

22974 Issued in SC

Practice address

110 Longford CT
Lexington, SC 29072-6747

Phone

(803) 254-5485

NPI assigned

Jun 26, 2019

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

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1497316798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LONGFORD CT",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290726747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LONGFORD CT",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290726747",
            "telephone_number": "803-254-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGIONE",
        "first_name": "MARY",
        "middle_name": "K",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie A Malo
• Lakelyn Malovic
• Gianna Theresa Mancuso
• Carrie Manges, PTA
• Jacob Scott Mangione
• Stacy Manley
• John Bennett Manna, NP-C
• Christine Shauvon Manning
• June K Maranville, MSP, CCC-SLP
• Mark R Kutyla DPM PA

• Family Nurse Practitioner in Lexington, SC
• Providers in Lexington, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.