Doris Bangura
Individual provider Active NPI Family Nurse Practitioner · Hurst, TX
NPI 1093260804 · NPPES record last updated Mar 19, 2019
Key facts
- NPI
- 1093260804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP141047 (TX)
- Practice address
- 845 Forest Hollow Dr
Hurst, TX 76053-7166 - Phone
- (817) 690-5032
- NPI assigned
- Aug 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190510000594 | TX | Practitioner - Nurse Practitioner | 3072769306 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 699402 | TX | MD | Home Health Registered Nurse |
| AP141047 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sierra Healthcare Network LLC | Current |
Accepting new patients | |
| Trinity Home Visiting Doctors PLLC | Current |
Accepting new patients | |
| Dorac Hearts Home Healthcare and Training Services | Past |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 699402 | TX | |
| Adult Companion | 372600000X | |||
| Personal Care Attendant | 3747P1801X | |||
| Family Nurse Practitioner | 363LF0000X | AP141047 | TX | Yes |
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
Other providers in Hurst, TX
- Melissa Lynne Baker
- Randall Baker
- Emmet Hezekiah Balch III
- Jazmin Balderas
- Rachel Ballard
- Lynette Denise Baptiste
- Aydee Barrera
- David Joseph Barry III
- Deborah Bartlett
- Richard K. Bartlett
All providers in Hurst, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.