Michelle Denise Bangura – Personal Care Attendant

Key facts

NPI: 1386397479
Entity type: Individual (NPI type 1)
Primary specialty: Personal Care Attendant 3747P1801X
Practice address: 3298 Fort Lincoln Dr NE Apt 510
Washington, DC 20018-4318
Phone: (202) 730-6612
NPI assigned: Jan 30, 2022
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
1386397479	MD	MD	Personal Care Attendant

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Personal Care Attendant	3747P1801X			Yes
Personal Care Attendant	3747P1801X	1386397479	MD

Addresses

Primary practice location

3298 Fort Lincoln Dr NE Apt 510
Washington, DC 20018-4318

Mailing address

4822 Texas Ave SE
Washington, DC 20019-4127
Phone (202) 384-0645

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 1, 2024.

{
    "created_epoch": "1643500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1386397479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4822 TEXAS AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200194127",
            "telephone_number": "202-384-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3298 FORT LINCOLN DR NE APT 510",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200184318",
            "telephone_number": "202-730-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGURA",
        "first_name": "MICHELLE",
        "middle_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-30",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "MD",
            "license": "1386397479",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

All providers in Washington, DC · Personal Care Attendant in District of Columbia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.