Individual provider Active NPI

Memuna Mansaray

  • Non-emergency Medical Transport (VAN)
  • Gaithersburg, MD
National Provider Identifier
1760602544
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
670 Issued in DC
Practice address
11 Lavenham PL
Gaithersburg, MD 20877-3469
Phone
(202) 251-1742
NPI assigned
Apr 26, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 670 DC Primary

Addresses

Primary practice location

11 Lavenham PL
Gaithersburg, MD 20877-3469

Mailing address

11 Lavenham PL
Gaithersburg, MD 20877-3469
Phone (202) 251-1742

Other names 1

  • Memuna Tunkara Former name

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

LicenseStateTypeSpecialty
670DCMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1760602544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LAVENHAM PL",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208773469",
            "telephone_number": "202-251-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 LAVENHAM PL",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208773469",
            "telephone_number": "202-251-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSARAY",
        "first_name": "MEMUNA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "DC",
            "license": "670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEMUNA",
            "last_name": "TUNKARA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.