| NPI | 1225010010 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-11-17 |
| Last Updated | 2025-02-19 |
| Mailing Address | Po Box 632476 Cincinnati, OH 45263-2476 United States Phone: (423) 282-8070 | Fax: (423) 794-1826 📍 View Map |
| Primary Practice Address | 303 Med Tech Pkwy, Suite 150 Johnson City, TN 37604-2364 United States Phone: (423) 282-8070 | Fax: (423) 794-1826 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | TN | 3122084 | BLUE CROSS BLUE SHEILD |
| MEDICAID | TN | 3830484 | - |
| MEDICAID | TN | 3830487 | - |
| Other (non-Medicare) | TN | 5470176 | AETNA |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | TN | MD0000025987 |
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About NPI 1225010010
Stephanie C Manginelli M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1225010010. The primary specialty listed is Family Medicine. The provider is located in Johnson City, TN. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-11-17. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1225010010?
NPI 1225010010 belongs to Stephanie C Manginelli M.D., a Family Medicine in Johnson City, TN. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1225010010 active?
The current status of NPI 1225010010 in the NPPES registry is Active. The record was last updated on 2025-02-19.
What specialty is NPI 1225010010?
NPI 1225010010 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1225010010?
You can verify NPI 1225010010 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1225010010?
The primary practice address on file for NPI 1225010010 is 303 Med Tech Pkwy, Johnson City, TN 37604-2364. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1225010010 issued?
NPI 1225010010 was first issued (enumerated) on 2005-11-17. The NPPES record was last updated on 2025-02-19.
Practice Location Map
Stephanie C Manginelli is located at 303 Med Tech Pkwy, Johnson City, TN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Stephanie C Manginelli. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1225010010. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | MD0000025987 | TN |