Jessica Elizabeth Bangora, BA

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1700 S Tamiami TRL
Sarasota, FL 34239-3509

Phone

(941) 487-5400

Fax

(941) 487-5430

NPI assigned

Feb 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

Practice roles

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.

• Skill Stackers LLC

  dba Jessica Bangora

  • Early Intervention Provider Agency
  • Venice, FL
  • NPI 1528771326
  NPD Authorized official

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1609903343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 LAUREL AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342857924",
            "telephone_number": "941-248-5068",
            "fax_number": "941-487-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393509",
            "telephone_number": "941-487-5400",
            "fax_number": "941-487-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGORA",
        "first_name": "JESSICA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "768288300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McKenna Baluch, APRN, FNP-C
• Valerie J Balzano-Howe, PT
• John Bamber, DO
• Bamboo Medical Solutions, LLC
• Partha Banerjee, M.D.
• Stephanie E Bank, OD
• Tanuj Parendra Banker, M.D.
• Terrylyn F Bankes, MD
• Smriti Banthia, M.D.
• Banyan Pediatric Care Centers Sarasota, LLC

• Social Worker in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.