Active NPI
Ganga Banjara, FNP
- Family Nurse Practitioner
- Fort Worth, TX
National Provider Identifier
1932910023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1169578
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1169578 | TX | MD | Family Nurse Practitioner |
Interoperability endpoints
- 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.