Active NPI
Fanta Bangura
- Nurse's Aide
- Washington, DC
National Provider Identifier
1740980747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- A00193096
- Practice address
- 2512 24TH St NE
Washington, DC 20018-2126 - Phone
- (202) 832-8340
- NPI assigned
- Mar 8, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | A00193096 | MD | Primary |
Addresses
Primary practice location
2512 24TH St NE
Washington, DC 20018-2126
Mailing address
9404 Bald Hill Rd
Bowie, MD 20721-2872
Phone (301) 523-6519
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 |
|---|---|---|---|
| A00193096 | MD | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678233600000",
"number": "1740980747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9404 BALD HILL RD",
"city": "BOWIE",
"state": "MD",
"postal_code": "207212872",
"telephone_number": "301-523-6519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2512 24TH ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200182126",
"telephone_number": "202-832-8340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANGURA",
"first_name": "FANTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-08",
"last_updated": "2023-03-08",
"certification_date": "2023-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "MD",
"license": "A00193096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.