Individual provider Active NPI

Zainab Kalokoh Mansaray, CRNP,FNP

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1740810043
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F11190391 Issued in MD
Practice address
5140 Nannie Helen Burroughs Ave NE
Washington, DC 20019-5509
Phone
(202) 984-7310
NPI assigned
Jan 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F11190391 MD
Family Nurse Practitioner 363LF0000X NP1025074 DC
Family Nurse Practitioner 363LF0000X F11190391 MD Primary

Addresses

Primary practice location

5140 Nannie Helen Burroughs Ave NE
Washington, DC 20019-5509

Mailing address

5704 Hiland Ave
Lanham, MD 20706-4700
Phone (240) 354-6476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240628000655 DC Practitioner - Nurse Practitioner 6002350279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mbi Health Services LLCGroup PAC ID 5294990453, 20 clinicians

Practice addresses (Care Compare)

4130 Hunt PL NE
Washington, DC 20019-3565
Phone (202) 388-4300

5140 Nannie Helen Burroughs Ave NE
Mbi Urgent Care
Washington, DC 20019-5509
Phone (202) 984-7310

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP1025074DCMDFamily Nurse Practitioner
F11190391MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Daudasalamatu Community Health Services LLC CurrentSince Sep 12, 2024 Accepting new patients
Mbi Health Services LLC CurrentSince May 28, 2024 Accepting new patients

Locations

4130 Hunt Pl NE
Washington, DC 20019
Phone (202) 388-4320

5140 Nannie Helen Burroughs Ave NE
Washington, DC 20019
Phone (202) 450-1066

7200 Wisconsin Ave
Ste 702
Bethesda, MD 20814
Phone (202) 215-5348

Organizations & group practices 2

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": "1579910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1740810043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5704 HILAND AVE",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064700",
            "telephone_number": "240-354-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 NANNIE HELEN BURROUGHS AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200195509",
            "telephone_number": "202-984-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSARAY",
        "first_name": "ZAINAB",
        "middle_name": "KALOKOH",
        "name_prefix": "Ms.",
        "credential": "CRNP,FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-25",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "F11190391",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP1025074",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "F11190391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.