Imani Tashelle Banks, LSA, CSA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

0136000340 Issued in VA

Practice address

8116 Arlington Blvd Ste 183
Falls Church, VA 22042-1002

Phone

(703) 659-4557

Fax

(703) 205-9010

NPI assigned

Jul 27, 2021

Last updated

Oct 14, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1962175919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 TOLEDO TER APT 442",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207823264",
            "telephone_number": "516-717-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8116 ARLINGTON BLVD STE 183",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421002",
            "telephone_number": "703-659-4557",
            "fax_number": "703-205-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "IMANI",
        "middle_name": "TASHELLE",
        "name_prefix": "Ms.",
        "credential": "LSA, CSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "DC",
            "license": "SA2000004",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "VA",
            "license": "0136000340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Allyssa Banek, PHARM D
• Grace Cruz Banez Sese, MD
• Ronald S Bank, MD
• Lawrence K Banker, D.D.S.
• Charlene Banks, MD
• Ronald Michael Baraga Delannoy
• Amin J Barakat, MD
• Victor Barba
• Barber DME Supply Group
• Amanda Barber, AGPCNP-BC

• Surgical Assistant in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Surgical Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.