Individual provider Active NPI

Abangawoh Sandrien, RN

  • Registered Nurse
  • Lanham, MD
National Provider Identifier
1467032037
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN1060079 Issued in DC
Practice address
10001 Greenbelt Rd Apt 202
Lanham, MD 20706-2227
Phone
(240) 478-4718
NPI assigned
Apr 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X RN1060079 DC Primary

Addresses

Primary practice location

10001 Greenbelt Rd Apt 202
Lanham, MD 20706-2227

Mailing address

10001 Greenbelt Rd Apt 202
Lanham, MD 20706-2227
Phone (240) 478-4718

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL LANHAM
Other URL LANHAM Health Information Exchange (HIE)

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
RN1060079DCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Life Stride, Inc. Past Accepting new patients
Psychiatric Center Chartered,Inc Single Specialty Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1467032037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 GREENBELT RD APT 202",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062227",
            "telephone_number": "240-478-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 GREENBELT RD APT 202",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062227",
            "telephone_number": "240-478-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDRIEN",
        "first_name": "ABANGAWOH",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1060079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "LANHAM",
            "affiliation": "N",
            "address_1": "10001 Greenbelt Rd Apt 202",
            "city": "Lanham",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207062227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "LANHAM",
            "affiliation": "N",
            "endpointDescription": "mobile phone",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10001 Greenbelt Rd Apt 202",
            "city": "Lanham",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207062227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.