Individual provider Active NPI

Alimatu Mary Bangura

  • Student in an Organized Health Care Education/Training Program
  • Annandale, VA
National Provider Identifier
1275224677
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
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

Updated by the provider on May 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
MEDICAIDMedicaidVA
1699725143OtherVAMODIVCARE

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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.