Active NPI
Kristina A Rost-Mangan, MS, RN, CNP
- Acute Care Nurse Practitioner
- Moraine, OH
National Provider Identifier
1992976393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- COA 09945-NP
- Practice address
- 2912 Springboro W
Suite 200
Moraine, OH 45439-1674 - Phone
- (937) 297-8999
- Fax
- (937) 298-9673
- NPI assigned
- Mar 13, 2008
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | COA 09945-NP | OH | Primary |
Addresses
Primary practice location
2912 Springboro W
Suite 200
Moraine, OH 45439-1674
Mailing address
2912 Springboro W
Suite 200
Moraine, OH 45439-1674
Phone (937) 297-8999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2825527 | Medicaid | OH |
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
- Certified Nurse Practitioner, Master of Science, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA 09945-NP | OH | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418601600000",
"number": "1992976393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2912 SPRINGBORO W",
"address_2": "SUITE 200",
"city": "MORAINE",
"state": "OH",
"postal_code": "454391674",
"telephone_number": "937-297-8999",
"fax_number": "937-298-9673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2912 SPRINGBORO W",
"address_2": "SUITE 200",
"city": "MORAINE",
"state": "OH",
"postal_code": "454391674",
"telephone_number": "937-297-8999",
"fax_number": "937-298-9673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROST-MANGAN",
"first_name": "KRISTINA",
"middle_name": "A",
"credential": "MS, RN, CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-13",
"last_updated": "2014-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "COA 09945-NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2825527",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moraine, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.