Individual provider Active NPI

Idriss Fadika Bangura, RN

  • Registered Nurse
  • Westerville, OH
National Provider Identifier
1275855751
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN356256 Issued in OH
Practice address
294 Park Rd
Westerville, OH 43081-5680
Phone
(614) 260-4849
NPI assigned
Feb 24, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN356256 OH Primary
Community Health Registered Nurse 163WC1500X RN356256 OH

Addresses

Primary practice location

294 Park Rd
Westerville, OH 43081-5680

Mailing address

294 Park Rd
Westerville, OH 43081-5680
Phone (614) 260-4849

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN356256OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1275855751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 PARK RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430815680",
            "telephone_number": "614-260-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 PARK RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430815680",
            "telephone_number": "614-260-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGURA",
        "first_name": "IDRISS",
        "middle_name": "FADIKA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN356256",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OH",
            "license": "RN356256",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.