Elizabeth Ourai Bangura, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SPO23193 Issued in PA

Practice address

23 S Chester Pike
Glenolden, PA 19036-1830

Phone

(484) 206-4544

NPI assigned

Feb 10, 2021

Last updated

Mar 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Ourai Bangura Professional name

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25233/brand/1/csg/1/fhir/r4

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.

• Moana Wellness Practice

  • Family Nurse Practitioner
  • Folcroft, PA
  • NPI 1689540254
  Medicare reassignment NPD Authorized official
• Excel Medical Center

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1942521810
  Medicare reassignment NPD
• Suma Home Care Inc

  • Home Health Agency
  • Folcroft, PA
  • NPI 1235417569
  NPD (past)

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1215529227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 RAVENWOOD RD",
            "city": "FOLCROFT",
            "state": "PA",
            "postal_code": "190321508",
            "telephone_number": "267-324-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 S CHESTER PIKE",
            "city": "GLENOLDEN",
            "state": "PA",
            "postal_code": "190361830",
            "telephone_number": "484-206-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGURA",
        "first_name": "ELIZABETH",
        "middle_name": "OURAI",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SPO23193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "BANGURA",
            "middle_name": "OURAI",
            "credential": "CRNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Adorable Citizens Group LLC
• Heather Alford, PSY.D.
• Anh Duong DMD PLLC (Lavender Smiles)
• Season Apple, MS, LPC
• Patricia Bell
• Eileen M Bellew, MA, RD, LDN
• Brian Bird, DC
• Theresa A Bistline, PTA
• Amanda Michelle Bonus, DR.

• Family Nurse Practitioner in Glenolden, PA
• Providers in Glenolden, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.