RB Angels Haven Health Center PLLC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

Legal business name

RB ANGELS HAVEN HEALTH CENTER PLLC

Practice address

2603 Hamlin St NE
Washington, DC 20018-2530

Phone

(202) 730-6559

Fax

(202) 574-1918

NPI assigned

Apr 24, 2026

Organization subpart

No

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

Authorized official

Name

Mary Tessie Thullah Bangura, MDNPI 1740956531

Title

DNP

Phone

(202) 730-6559

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Tessie Thullah Bangura, DNP-PMHNP

  • Gerontology Nurse Practitioner
  • Washington, DC
  • NPI 1740956531
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1776988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1669318564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 HAMLIN ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200182530",
            "telephone_number": "202-730-6559",
            "fax_number": "202-574-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 HAMLIN ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200182530",
            "telephone_number": "202-730-6559",
            "fax_number": "202-574-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RB ANGELS HAVEN HEALTH CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-24",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "THULLAH BANGURA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "TESSIE",
        "authorized_official_title_or_position": "DNP",
        "authorized_official_telephone_number": "202-730-6559",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gerontology Nurse Practitioner in Washington, DC
• Providers in Washington, DC by specialty
• Gerontology Nurse Practitioner in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.