Bernadette Assumpta Bangnam, FNP, WHNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R221746 Issued in MD

Practice address

6305 Ivy LN Ste 101
Greenbelt, MD 20770-6326

Phone

(301) 235-0060

NPI assigned

Mar 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1508827809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 GLADYS FARM WAY # A",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208821421",
            "telephone_number": "240-437-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 IVY LN STE 101",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207706326",
            "telephone_number": "301-235-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGNAM",
        "first_name": "BERNADETTE",
        "middle_name": "ASSUMPTA",
        "name_prefix": "Mrs.",
        "credential": "FNP, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "TX",
            "license": "458639",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R221746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rawda Bakri, HHA
• Emilia Nsama Balah
• Baltimore Medical System Inc
• Florence Ate Bana
• Suhtah M Bangang
• Saffie Bangura, NP
• Chris Alan Banks, PHLEBOTOMIST
• Gregory C Banks, MD
• Danielle Monique Barnard, LMSW
• Briana Barnes, LGSW

• Family Nurse Practitioner in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.