Active NPI
Annella Banks, CFNP
- Family Nurse Practitioner
- Gaithersburg, MD
National Provider Identifier
1356557359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R139074
- Practice address
- 17 Firstfield Rd
Suite 200
Gaithersburg, MD 20878-1774 - Phone
- (301) 330-4243
- Fax
- (301) 963-9114
- NPI assigned
- May 15, 2007
- Last updated
- Dec 5, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R139074 | MD | Primary |
Addresses
Primary practice location
17 Firstfield Rd
Suite 200
Gaithersburg, MD 20878-1774
Mailing address
17 Firstfield Rd
Suite 200
Gaithersburg, MD 20878-1774
Phone (301) 330-4243
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R139074 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cecilia a Nwankwo M D F a a P P C | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/3648/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/AGAFBA/Endpoint/AGAFBA
Organizations & group practices 2
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.
-
dba Capital Pediatrics
- Pediatrics Physician
- Gaithersburg, MD
- NPI 1164596862
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386201600000",
"number": "1356557359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 FIRSTFIELD RD",
"address_2": "SUITE 200",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208781774",
"telephone_number": "301-330-4243",
"fax_number": "301-963-9114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 FIRSTFIELD RD",
"address_2": "SUITE 200",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208781774",
"telephone_number": "301-330-4243",
"fax_number": "301-963-9114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "ANNELLA",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2013-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R139074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.