Individual provider Active NPI

Doris Bangura

  • Family Nurse Practitioner
  • Hurst, TX
National Provider Identifier
1093260804
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP141047 Issued in TX
Practice address
845 Forest Hollow Dr
Hurst, TX 76053-7166
Phone
(817) 690-5032
NPI assigned
Aug 22, 2016
Last updated
Mar 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 699402 TX
Adult Companion 372600000X
Personal Care Attendant 3747P1801X
Family Nurse Practitioner 363LF0000X AP141047 TX Primary

Addresses

Primary practice location

845 Forest Hollow Dr
Hurst, TX 76053-7166

Mailing address

845 Forest Hollow Dr
Hurst, TX 76053-7166
Phone (817) 690-5032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190510000594 TX Practitioner - Nurse Practitioner 3072769306 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
699402TXMDHome Health Registered Nurse
AP141047TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Home Visiting Doctors PLLC CurrentSince Sep 15, 2019 Accepting new patients
Sierra Healthcare Network LLC CurrentSince Oct 15, 2019 Accepting new patients
Dorac Hearts Home Healthcare and Training Services PastSince Nov 7, 2011 Accepting new patients

Locations

2727 Lyndon B Johnson Fwy
Ste 2129
Dallas, TX 75234
Phone (214) 935-5777

2727 Lyndon B Johnson Fwy
Ste 326
Dallas, TX 75234
Phone (214) 935-5777

2735 Villa Creek Dr
Ste A143
Farmers Branch, TX 75234
Phone (972) 677-7964

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1093260804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 FOREST HOLLOW DR",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760537166",
            "telephone_number": "817-690-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 FOREST HOLLOW DR",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760537166",
            "telephone_number": "817-690-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGURA",
        "first_name": "DORIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "699402",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

Verify at the official NPI Registry.