MRS. JACQUELINE S MANGRUM LPN
NPI 1750583886
Licensed Practical Nurse in Phoenix, AZ

NPI Status: Active since June 01, 2007

Contact Information

3401 N 67TH AVE
PHOENIX, AZ
ZIP 85033
Phone: (623) 691-4085

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  • Individual
  • Female
  • Licensed Practical Nurse

About JACQUELINE MANGRUM

This page provides the complete NPI Profile along with additional information for Jacqueline Mangrum, a provider established in Phoenix, Arizona with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1750583886 assigned on June 2007. The practitioner's primary taxonomy code is 164W00000X with license number LP014022 (AZ). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1750583886
Provider Name
MRS. JACQUELINE S MANGRUM LPN
Gender
Female
Entity Type
Individual
Location Address
3401 N 67TH AVE PHOENIX, AZ 85033
Location Phone
(623) 691-4085
Mailing Address
3401 N 67TH AVE PHOENIX, AZ 85033
Mailing Phone
(623) 691-4085
Is Sole Proprietor?
No
Enumeration Date
06-01-2007
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
LP014022
License State
AZ
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750583886
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001086816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 0 + 8 + 6 + 8 + 1 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1750583886 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1255380853MRS. LAURA SIMCHAK MOORE MPT
Individual
Physical Therapist (Pediatrics)3401 N 67TH AVE
PHOENIX, AZ 85033
(623) 691-4032
1750433173MS. ANGELA RAY HERRERA ED.S., NCSP
Individual
Psychologist (School)3401 N 67TH AVE
PHOENIX, AZ 85033
(623) 691-4090
1871646091MRS. NOREEN ANN BALDWIN M.S.
Individual
Speech-Language Pathologist3401 N 67TH AVE
PHOENIX, AZ 85033
(623) 691-4117
1174678882CARTWRIGHT ELEMENTARY SCHOOL DISTRICT #83
Organization
Local Education Agency (LEA)3401 N 67TH AVE
PHOENIX, AZ 85033
(623) 691-4085
1427195650 ALANA BOTTINELLI ED.S.
Individual
Psychologist (School)3401 N 67TH AVE
PHOENIX, AZ 85033
(623) 691-5218
1053459768 PATRICIA LAW M.A.
Individual
Speech-Language Pathologist3401 N 67TH AVE
PHOENIX, AZ 85033
(623) 691-3226
1003950767 LORI A. DONG M.A., CCC-SLP
Individual
Speech-Language Pathologist3401 N 67TH AVE
PHOENIX, AZ 85033
(623) 691-2848
1457495970 ANDREA BABCOCK MS OTRL
Individual
Occupational Therapist (Pediatrics)3401 N 67TH AVE
PHOENIX, AZ 85033
(623) 691-5578
1245366368MRS. DIANE JOYCE QUISENBERRY OTRL
Individual
Occupational Therapist3401 N 67TH AVE
PHOENIX, AZ 85033
(623) 691-5578
1992831598MS. PAMELA MATLIN OTRL
Individual
Occupational Therapist3401 N 67TH AVE SPECIAL SERVICES
PHOENIX, AZ 85033
(623) 691-5578
1639209463 JENNIFER ROY CCC-SLP
Individual
Speech-Language Pathologist3401 N 67TH AVE
PHOENIX, AZ 85033
(623) 691-4090
1588796643 NICOLE VONDRASEK
Individual
Speech-Language Pathologist3401 N 67TH AVE
PHOENIX, AZ 85033
(623) 691-4085
1346369600 LAURA MANN
Individual
Specialist/Technologist (Speech-Language Assistant)3401 N 67TH AVE
PHOENIX, AZ 85033
(623) 691-4000
1982727970MS. ANITA J. JAIME M.S.
Individual
Speech-Language Pathologist3401 N 67TH AVE
PHOENIX, AZ 85033
(623) 691-5953
1174725469 ROBYN WESTOVER
Individual
Licensed Practical Nurse3401 N 67TH AVE
PHOENIX, AZ 85033
(623) 691-4085
1154523199MRS. NITA LOUISE SELTZER R.N.
Individual
Registered Nurse3401 N 67TH AVE
PHOENIX, AZ 85033
(623) 691-4085
1366644288MRS. PAM G. STRICKLEN R.N.
Individual
Registered Nurse (School)3401 N 67TH AVE
PHOENIX, AZ 85033
(623) 691-4085
1346442100MRS. IRENE KAY DAVIS RN
Individual
Registered Nurse (School)3401 N 67TH AVE
PHOENIX, AZ 85033
(623) 691-4085
1457553158MRS. LAURA SMITH R.N.
Individual
Registered Nurse (School)3401 N 67TH AVE
PHOENIX, AZ 85033
(623) 691-3115
1508068024 ANGELITA NORIEGA
Individual
Licensed Practical Nurse3401 N 67TH AVE
PHOENIX, AZ 85033
(623) 691-4085

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750583886, enumerated in the NPI registry as an "individual" on June 01, 2007

The provider is located at 3401 N 67th Ave Phoenix, Az 85033 and the phone number is (623) 691-4085

The provider's speciality is Licensed Practical Nurse with taxonomy code 164W00000X

This NPI record was last updated on June 01, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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