Active NPI
Chelsie Kayten Mangum, ARNP
- Family Nurse Practitioner
- Kissimmee, FL
National Provider Identifier
1912397530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP 9318711
- Practice address
- 704 Generation PT
Suite 201
Kissimmee, FL 34744-5918 - Phone
- (888) 644-1448
- NPI assigned
- Feb 3, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP 9318711 | FL | Primary |
Addresses
Primary practice location
704 Generation PT
Suite 201
Kissimmee, FL 34744-5918
Mailing address
4511 La Salle Ave S Ste 10
Saint Cloud, FL 34772-8399
Phone (407) 797-3171
Other practice location 1
2521 13th St Ste C
Saint Cloud, FL 34769-4103
Phone (407) 797-3171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9318711 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Risk Solutions | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DAAEBD
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Kissimmee, FL
- NPI 1336682228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1912397530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4511 LA SALLE AVE S STE 10",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347728399",
"telephone_number": "407-797-3171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 GENERATION PT",
"address_2": "SUITE 201",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347445918",
"telephone_number": "888-644-1448"
}
],
"practiceLocations": [
{
"address_1": "2521 13th St Ste C",
"address_purpose": "LOCATION",
"city": "Saint Cloud",
"state": "FL",
"postal_code": "347694103",
"country_code": "US",
"telephone_number": "407-797-3171",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANGUM",
"first_name": "CHELSIE",
"middle_name": "KAYTEN",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-03",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP 9318711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.