Carolyne Bangurah, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

205113 Issued in OK

Practice address

600 N Walker Ave Ste 103
Oklahoma City, OK 73102-3035

Phone

(405) 445-9555

Fax

(866) 728-2564

NPI assigned

Apr 21, 2017

Last updated

Mar 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Carolyne Bangurah Other name

Medicare fee-for-service enrollment

Enrolled in MI, OK2 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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mercy Oklahoma Ambulatory Services LLC

  • Urgent Care Clinic/Center
  • Moore, OK
  • NPI 1922509173
  Medicare reassignment NPD
• Betts Medical Group LLC

  • Internal Medicine Physician
  • Oak Park, MI
  • NPI 1083908081
  Medicare reassignment NPD
• Ayana Medical Services LLC

  • Family Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1285484253
  Authorized official Same address or phone

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1801321393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N WALKER AVE STE 103",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731023035",
            "telephone_number": "405-445-9555",
            "fax_number": "866-728-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N WALKER AVE STE 103",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731023035",
            "telephone_number": "405-445-9555",
            "fax_number": "866-728-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGURAH",
        "first_name": "CAROLYNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-21",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704277484",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "205113",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704277484",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYNE",
            "last_name": "BANGURAH",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Betty N Bampoe, D.C.
• Shehzad Jaffer Bandhani, MD
• Brad Allen Bandy
• Barbara L Bane, MD
• Riley Bane, PA-C
• Chau Banh, DDS
• Banister & Associates LLC
• Carol Ann Banister, R.D.
• Soichchha Baniya, DDS
• Joseph Allen Banken, PHD

• Family Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.