Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tabatha Angle, NP

Individual provider Women's Health Nurse Practitioner · NPI 1568832343

Tabatha Angle, NP is a Nurse Practitioner in Mansfield, Ohio. Qualified in 2015, 11 years ago. Practices with Third Street Community Clinic, Inc, a 28-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
11
Licensed in
OH
In the registry since
2015
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

770 Balgreen Dr Ste 207
Mansfield, OH 44906-4106
Phone: (419) 522-6800
Fax: (419) 525-6723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 W 3rd St, Mansfield, OH 44906-2633 — (419) 522-6191

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence COA-18150-NP (OH)

Record details

NPI number1568832343
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedOctober 6, 2015
Last updated in NPPESDecember 22, 2021
Certification dateDecember 22, 2021
Mailing address600 W 3rd St, Mansfield, OH 44906-2633

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Third Street Community Clinic, Inc. — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Mansfield