Jennifer Mangold, CRNP, FNP-BC

Primary specialty

Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X

License

LG-0011856 Issued in DE

Practice address

1600 Kirkwood Hwy
Wilmington, DE 19805-4918

Phone

(302) 633-5384

Fax

(302) 633-5384

NPI assigned

Mar 26, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

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

State licenses

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

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1508008319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 DOUGLAS CIR",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404536",
            "telephone_number": "305-293-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 KIRKWOOD HWY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198054918",
            "telephone_number": "302-633-5384",
            "fax_number": "302-633-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGOLD",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "CRNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-26",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "PA",
            "license": "SP10248",
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "DE",
            "license": "LG-0011856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Mandel, APN
• Nicole Marie Manelski, RN
• Laura Jean Manfield, DO
• Sheila Mangan, P.T.
• Kelly Manges, APRN
• David Spencer Mangum
• Soumya Manikonda, DO
• Nicholas Manini
• Nainika Venugopal Manjunath, MD
• Sara Mann, MD/MPH

• Family Health Clinical Nurse Specialist in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Family Health Clinical Nurse Specialist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.