Individual provider Active NPI

Fatmata Bangura

  • Psychiatric/Mental Health Nurse Practitioner
  • Bowie, MD
National Provider Identifier
1720767932
Registry record updated Mar 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R227604 Issued in MD
Practice address
1730 Peachtree LN
Bowie, MD 20721-3018
Phone
(571) 527-8987
NPI assigned
Jul 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R227604 MD Primary

Addresses

Primary practice location

1730 Peachtree LN
Bowie, MD 20721-3018

Mailing address

1730 Peachtree LN
Bowie, MD 20721-3018
Phone (571) 527-8987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, NJ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230928003845 MD Practitioner - Nurse Practitioner 0547614232
I20230928003946 DC Practitioner - Nurse Practitioner 0547614232 Reassigns benefits to 2 organizations
I20241031000078 NJ Practitioner - Nurse Practitioner 0547614232 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R227604MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vida Sarkodie Inc. Psychiatric/Mental Health CurrentSince Aug 22, 2024 Accepting new patients
Neta, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Alluna Health LLC Psychiatric/Mental Health CurrentSince Aug 31, 2025 Accepting new patients

Locations

4520 East West Hwy
Ste 775
Bethesda, MD 20814
Phone (240) 531-2799

6301 Ivy Ln
Ste 700
Greenbelt, MD 20770
Phone (301) 220-0029

230 US Highway 206
Ste 3
Flanders, NJ 07836
Phone (203) 309-0623

230 US Highway 206
Flanders, NJ 07836
Phone (973) 298-0812

Organizations & group practices 4

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": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741996800000",
    "number": "1720767932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 PEACHTREE LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207213018",
            "telephone_number": "571-527-8987",
            "fax_number": "833-605-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 PEACHTREE LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207213018",
            "telephone_number": "571-527-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGURA",
        "first_name": "FATMATA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-14",
        "last_updated": "2025-03-15",
        "certification_date": "2025-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R227604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.