Katherine A Mandigo, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

137619 Issued in MA

Practice address

200 Copeland Dr
Mansfield, MA 02048-1225

Phone

(508) 339-4144

Fax

(508) 261-9940

NPI assigned

Sep 5, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Louis G. Dusseault, Jr., MD, PC

  • Internal Medicine Physician
  • Norwood, MA
  • NPI 1386642031
  NPD (past)
• Medical Associates of New England

  • Internal Medicine Physician
  • Norwood, MA
  • NPI 1811063688
  NPD (past)
• Sturdy Health, Inc.

  • Internal Medicine Physician
  • Mansfield, MA
  • NPI 1871515874
  NPD (past)

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801998299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 COPELAND DR",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481225",
            "telephone_number": "508-339-4144",
            "fax_number": "508-261-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COPELAND DR",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481225",
            "telephone_number": "508-339-4144",
            "fax_number": "508-261-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDIGO",
        "first_name": "KATHERINE",
        "middle_name": "A",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "137619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MABC",
            "identifier": "NP5026",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Madden
• Tiara Madore, LICSW
• Nancy M Magharious
• Neveen A Makram
• Helen Malone, MED, ATC, CSCS
• Deirdre J Manning, PT, DPT
• Mansfield Family Dental, LLC
• Mansfield Modern Dentistry, PC
• Mansfield Periodontics and Dental Implants, PLLC
• Mansfield Physical Therapy & Wellness LLC

• Nurse Practitioner in Mansfield, MA
• Providers in Mansfield, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.