Active NPI
Ranell Bang
- Social Worker
- Fargo, ND
National Provider Identifier
1700940467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 3174
- Practice address
- 2624 9TH Ave S
Fargo, ND 58103-2350 - Phone
- (701) 298-4500
- Fax
- (701) 298-4400
- NPI assigned
- Dec 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 000079072 | ND | |
| Social Worker | 104100000X | 3174 | ND | Primary |
Addresses
Primary practice location
2624 9TH Ave S
Fargo, ND 58103-2350
Mailing address
2624 9TH Ave S
Fargo, ND 58103-2350
Phone (701) 298-4500
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3174 | ND | MD | Social Worker |
| 000079072 | ND | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1700940467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2624 9TH AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581032350",
"telephone_number": "701-298-4500",
"fax_number": "701-298-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2624 9TH AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581032350",
"telephone_number": "701-298-4500",
"fax_number": "701-298-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANG",
"first_name": "RANELL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "ND",
"license": "000079072",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ND",
"license": "3174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.