Individual provider Active NPI

Rabiatu Bangura

  • Psychiatric/Mental Health Nurse Practitioner
  • Annapolis, MD
National Provider Identifier
1740903004
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R222991 Issued in MD
Practice address
420 Chinaquin Round Road
Annapolis, MD 21401
Phone
(301) 793-1775
NPI assigned
Sep 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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 R222991 MD Primary

Addresses

Primary practice location

420 Chinaquin Round Road
Annapolis, MD 21401

Mailing address

15614 Mews CT
Laurel, MD 20707-3311
Phone (301) 793-1775

Other practice location 1

2212 E Monument St
Baltimore, MD 21205-2420
Phone (443) 756-5092

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
I20251212002906 DC Practitioner - Nurse Practitioner 7113392507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MD Behavioral Health LLCGroup PAC ID 8820445364, 12 clinicians

Practice addresses (Care Compare)

4000 Mitchellville Rd
Suite A414
Bowie, MD 20716-3142
Phone (301) 249-8100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R222991MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prudent Minds Behavioral Health CurrentSince Mar 12, 2023 Accepting new patients
MD Behavioral Health LLC CurrentSince Nov 21, 2025 Accepting new patients

Locations

2212 E Monument St
Baltimore, MD 21205
Phone (301) 821-6089

4000 Mitchellville Rd
Ste A414
Bowie, MD 20716
Phone (301) 249-8100

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": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1740903004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15614 MEWS CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207073311",
            "telephone_number": "301-793-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 CHINAQUIN ROUND ROAD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21401",
            "telephone_number": "301-793-1775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2212 E Monument St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212052420",
            "country_code": "US",
            "telephone_number": "443-756-5092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANGURA",
        "first_name": "RABIATU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R222991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.