Sidratu Aminata Bundu, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024175653 Issued in VA

Practice address

7916 Schuyler CT
Annandale, VA 22003-5143

Phone

(571) 338-1594

NPI assigned

Apr 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Aminata Koroma Former name

Medicare fee-for-service enrollment

Enrolled in VA

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

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1326545583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7916 SCHUYLER CT",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220035143",
            "telephone_number": "571-338-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7916 SCHUYLER CT",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220035143",
            "telephone_number": "571-338-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDU",
        "first_name": "SIDRATU",
        "middle_name": "AMINATA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMINATA",
            "last_name": "KOROMA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Barrett Bolton Brown, MD
• Paulette Elizabeth Browne, M.D.
• Sofia Brycock
• Jacqueline Buarque de Macedo, LGSW, MSW
• Ethan H Bui, PHARMD
• Leonora T. Burger, MSW, LCSW
• Kenneth T Burnett, MSPT
• Monica Buzzetta, PA-C
• Hyung Sik Byeon, L.AC
• Justine E Byun, M.A., CCC-SLP

• Family Nurse Practitioner in Annandale, VA
• Providers in Annandale, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.