Individual provider Active NPI

Musa Bangura, LPN

  • Nursing Care Agency
  • Moorhead, MN
National Provider Identifier
1033995394
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
L17308 Issued in ND
Practice address
1631 Belsly Blvd Apt 206
Moorhead, MN 56560-6127
Phone
(571) 426-9134
Fax
(218) 483-0436
NPI assigned
Sep 4, 2023
Last updated
Sep 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X L17308 ND Primary

Addresses

Primary practice location

1631 Belsly Blvd Apt 206
Moorhead, MN 56560-6127

Mailing address

1631 Belsly Blvd Apt 206
Moorhead, MN 56560-6127
Phone (571) 426-9134

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L17308NDMDNursing Care Agency

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1033995394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 BELSLY BLVD APT 206",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565606127",
            "telephone_number": "571-426-9134",
            "fax_number": "218-483-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 BELSLY BLVD APT 206",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565606127",
            "telephone_number": "571-426-9134",
            "fax_number": "218-483-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGURA",
        "first_name": "MUSA",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "ND",
            "license": "L17308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.