Kylie Mangrum, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

34932 Issued in TN

Practice address

222 State St
Dickson, TN 37055-2082

Phone

(615) 879-3582

Fax

(615) 827-0273

NPI assigned

Dec 11, 2023

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 names 1

• Kylie Stewart Former name

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Freeman Health Partners Medical Services PCGroup PAC ID 2668810623, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kylie.mangrum.1@31315.direct.athenahealth.com

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.

• Freeman Health Partners Medical Services, PC

  • Adult Medicine Physician
  • Dickson, TN
  • NPI 1205549094
  Medicare reassignment Care Compare group NPD (past)
• Emergency Medicine Services of TN, PC

  • Emergency Medicine Physician
  • Nashville, TN
  • NPI 1720785884
  NPD

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1962279984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 STATE ST",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552082",
            "telephone_number": "615-879-3582",
            "fax_number": "615-827-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 STATE ST",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552082",
            "telephone_number": "615-879-3582",
            "fax_number": "615-827-0273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Highway 70 E",
            "address_purpose": "LOCATION",
            "city": "Dickson",
            "state": "TN",
            "postal_code": "370552080",
            "country_code": "US",
            "telephone_number": "615-446-0446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGRUM",
        "first_name": "KYLIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "34932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLIE",
            "last_name": "STEWART",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Main Street Interventions
• Treeah Majors, FNP-BC
• Jose Malave, MD
• Andrew Carl Mangrum, M.DIV.
• Heather Nicole Mangrum, FNP-C
• Venk Mani, MD
• Toni J Marcum, DT, OTR/L
• Austin B Marlow, PA
• Naimisha Marneni, MD
• Megan Martin

• Nurse Practitioner in Dickson, TN
• Providers in Dickson, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.