Active NPI
Alimatu Mary Bangura
- Student in an Organized Health Care Education/Training Program
- Annandale, VA
National Provider Identifier
1275224677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 7700 Little River Tpke Ste 305
Annandale, VA 22003-2406 - Phone
- (240) 618-9820
- NPI assigned
- May 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | VA | Primary |
Addresses
Primary practice location
7700 Little River Tpke Ste 305
Annandale, VA 22003-2406
Mailing address
7700 Little River Tpke Ste 305
Annandale, VA 22003-2406
Phone (240) 618-9820
Other practice location 1
5990 Tapestry Dr
Woodbridge, VA 22193-4148
Phone (571) 992-8234
Other practice location 2
2339 Merseyside Dr
Woodbridge, VA 22191-6568
Phone (571) 992-8234
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MEDICAID | Medicaid | VA | |
| 1699725143 | Other | VA | MODIVCARE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tamaraneh Care Services Inc | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Developmentally Disabled Services Day Training Agency
- Woodbridge, VA
- NPI 1083549174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1275224677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7700 LITTLE RIVER TPKE STE 305",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220032406",
"telephone_number": "240-618-9820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 LITTLE RIVER TPKE STE 305",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220032406",
"telephone_number": "240-618-9820"
}
],
"practiceLocations": [
{
"address_1": "5990 Tapestry Dr",
"address_purpose": "LOCATION",
"city": "Woodbridge",
"state": "VA",
"postal_code": "221934148",
"country_code": "US",
"telephone_number": "571-992-8234",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2339 Merseyside Dr",
"address_purpose": "LOCATION",
"city": "Woodbridge",
"state": "VA",
"postal_code": "221916568",
"country_code": "US",
"telephone_number": "571-992-8234",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANGURA",
"first_name": "ALIMATU",
"middle_name": "MARY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-16",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MEDICAID",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MODIVCARE",
"identifier": "1699725143",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Annandale, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.