Individual provider Active NPI

Ganga Banjara, FNP

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1932910023
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1169578 Issued in TX
Practice address
7236 Blue Mound Rd
Fort Worth, TX 76131-4802
Phone
(817) 386-4505
Fax
(817) 796-1422
NPI assigned
Jan 16, 2025
Last updated
Jun 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1169578 TX Primary

Addresses

Primary practice location

7236 Blue Mound Rd
Fort Worth, TX 76131-4802

Mailing address

2329 Buelingo LN
Fort Worth, TX 76131-1633
Phone (467) 958-5022

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
1169578TXMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: gangabanjara@gfmc.allscriptsdirect.net

NPI Registry JSON

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1932910023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 BUELINGO LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761311633",
            "telephone_number": "467-958-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7236 BLUE MOUND RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761314802",
            "telephone_number": "817-386-4505",
            "fax_number": "817-796-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANJARA",
        "first_name": "GANGA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1169578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.