Active NPI 1720603228 Individual Practitioner Female Practitioner

Amy K Mangrum

Contractor • Cape Coral, FL

Professional Overview & Biography Verified Profile Summary

Amy Mangrum is a registered healthcare professional specializing in Contractor in Cape Coral, FL. Practice services are available at 1100 NW 9TH PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1100 Nw 9th Pl

Cape Coral, FL 339936061

Telephone 1239245403

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Cape Coral, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 25.0 Yrs

Regional Practice Density

5 Specialists

Practicing in Cape Coral, FL (793 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-06-10

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

105007600 (FL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active June 10, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location June 10, 2020

Registered at 1100 NW 9TH PL, CAPE CORAL, FL 339936061 (Tel: 1239245403)

📍

Updated Business Mailing Address June 10, 2020

Registered at 1100 NW 9TH PL, CAPE CORAL, FL 339936061 (Tel: 2392454033)

👤

Provider Name / Credentials Updated June 10, 2020

Recorded as AMY MANGRUM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2020

Contractor

🟢

Initial NPI Registration & Enumeration June 10, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720603228

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 10, 2020

Last Update: June 10, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1100 Nw 9th Pl

Cape Coral, FL 339936061

Phone: 2392454033

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.