Active NPI
Brianne Joan Mangeney, CRNP
- Family Nurse Practitioner
- Sellersville, PA
National Provider Identifier
1982887097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP009647
- Practice address
- 915 Lawn Ave
Sellersville, PA 18960 - Phone
- (215) 453-3300
- Fax
- (215) 453-3306
- NPI assigned
- Dec 12, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP009647 | PA | |
| Family Nurse Practitioner | 363LF0000X | SP009647 | PA | Primary |
Addresses
Primary practice location
915 Lawn Ave
Sellersville, PA 18960
Mailing address
915 Lawn Ave
Suite 202
Sellersville, PA 18960-1551
Phone (215) 453-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023375640001 | Medicaid | PA |
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
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410825600000",
"number": "1982887097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 LAWN AVE",
"address_2": "SUITE 202",
"city": "SELLERSVILLE",
"state": "PA",
"postal_code": "189601551",
"telephone_number": "215-453-3300",
"fax_number": "215-453-3306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 LAWN AVE",
"city": "SELLERSVILLE",
"state": "PA",
"postal_code": "18960",
"telephone_number": "215-453-3300",
"fax_number": "215-453-3306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGENEY",
"first_name": "BRIANNE",
"middle_name": "JOAN",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-12",
"last_updated": "2014-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP009647",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP009647",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1023375640001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sellersville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.