MRS. BERNADETTE ASSUMPTA BANGNAM (NPI# 1508827809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508827809 |
| Entity Type | Individual |
| Full Name | MRS. BERNADETTE ASSUMPTA BANGNAM |
| Credential | FNP, WHNP |
| Practice Address |
6305 Ivy Ln Ste 101 Greenbelt MD 20770-6326 |
| Mailing Address |
9200 Gladys Farm Way # A Gaithersburg MD 20882-1421 |
| Practice Telephone | 3012350060 |
| Mailing Telephone | 2404379828 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2020-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WW0101X |
Registered Nurse Specialization: Women's Health Care, Ambulatory |
458639 | TX | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R221746 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6305 IVY LN STE 101 |
| City | GREENBELT |
| State | MD |
| Zip Code | 20770-6326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643000 | Advanced Healthcare and Allied Services, LLC | Community/Behavioral Health | 6305 Ivy Ln Ste 101, Greenbelt, MD 20770-6326 | 2020-09-09 |
| 1255945242 | Advanced Healthcare and Allied Services, LLC | Nurse Practitioner | 6305 Ivy Ln Ste 101, Greenbelt, MD 20770-6326 | 2020-09-07 |
| 1174160980 | Survivor Sources Inc | Case Manager/Care Coordinator | 6305 Ivy Ln Ste 101, Greenbelt, MD 20770-6326 | 2019-11-30 |
| 1356907844 | Peter Devlin | Social Worker | 6305 Ivy Ln Ste 101, Greenbelt, MD 20770-6326 | 2019-05-10 |
| 1972166163 | Advanced Healthcare & Allied Services, Inc. | Home Health | 6305 Ivy Ln Ste 101, Greenbelt, MD 20770-6326 | 2019-04-15 |
| 1760966436 | Akos Antwi | Registered Nurse | 6305 Ivy Ln Ste 101, Greenbelt, MD 20770-6326 | 2018-09-19 |
| 1114420320 | Wellness Source LLC | Dietitian, Registered | 6305 Ivy Ln Ste 101, Greenbelt, MD 20770-6326 | 2018-03-14 |
| 1205339413 | Wellness Source LLC | Social Worker | 6305 Ivy Ln Ste 101, Greenbelt, MD 20770-6326 | 2018-03-14 |
| 1619477478 | Divya Lakshmi Selvakumar | Dietitian, Registered | 6305 Ivy Ln Ste 101, Greenbelt, MD 20770-6326 | 2018-02-19 |
| 1780031724 | Wellness Source LLC | Clinic/Center | 6305 Ivy Ln Ste 101, Greenbelt, MD 20770-1465 | 2016-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805405 | Caring Hands Medical Clinic LLC | Nurse Practitioner | 7201 Handover Parkway, Suite B, Greenbelt, MD 20770 | 2020-09-10 |
| 1770107203 | Jeannette Nicole Welds | Social Worker | 7710-303 Hanover Parkway, Greenbelt, MD 20770 | 2020-06-01 |
| 1063032597 | Victory Clinical Research | Specialist | 7212 Hanover Parkway, Suite A, Greenbelt, MD 20770 | 2020-04-24 |
| 1336793884 | Yan Chen | Physician Assistant | 7300 Hanover Drive, Suite 104, Greenbelt, MD 20770 | 2019-08-01 |
| 1245884519 | Antonio Moody | Counselor | 7474 Greenbelt Center Drive, Greenbelt, MD 20770 | 2019-07-25 |
| 1881166494 | Jeniece Edwina Weddington | Speech-Language Pathologist | Eleanor Roosevelt High School- Pgcps, 7601 Hanover Parkway, Greenbelt, MD 20770 | 2018-12-20 |
| 1043797996 | Thomas Mesumbe | Home Health Aide | 6204 Sringhill Drive, Apartment 201, Greenbelt, MD 20770 | 2018-07-24 |
| 1063914554 | Zainab Anita Foday | Home Health Aide | 5923 Cherrywood Terrace Apt 101, Greenbelt, MD 20770 | 2018-03-01 |
| 1619479193 | Nancy Benga | Home Health Aide | 5821 Cherrywood Ln Apt 104 5821 Cherry Wood Ln Apt 104, Greenbelt, MD 20770 | 2018-03-01 |
| 1912407891 | Adoni Healthcare Services, LLC | Clinic/Center | 7525 Greenway Center Dr Ste 316, Greenbelt, MD 20770 | 2018-02-16 |
| Find all providers in zip 20770 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386282937 | Hannah Loko Ngale | Nurse Practitioner | 7204 Morrison Dr, Greenbelt, MD 20770-2444 | 2019-12-13 |
| 1336703354 | Doorstep & Telemedicine LLC | Nurse Practitioner | 8212 Canning Ter, Greenbelt, MD 20770-2706 | 2019-04-25 |
| 1962963389 | Oluwakemi F Balogun | Nurse Practitioner | 7239 Hanover Pkwy Ste A, Greenbelt, MD 20770-3603 | 2019-03-28 |
| 1134510266 | Jamestina Diop | Nurse Practitioner | 7474 Greenway Center Dr Ste 1100, Greenbelt, MD 20770-3500 | 2015-02-11 |
| 1811317472 | Nkem Dilim Zos | Nurse Practitioner | 7217 Hanover Pkwy Ste B, Greenbelt, MD 20770 | 2014-04-22 |
| 1710302963 | Mistre Ayele | Nurse Practitioner | 7525 Greenway Center Dr Ste T5, Greenbelt, MD 20770-3527 | 2014-02-25 |
| 1376801118 | Miranda Bessem Mbutambe | Nurse Practitioner | 7500 Hanover Pkwy Ste 202, Greenbelt, MD 20770-2009 | 2012-04-30 |
| 1700153210 | Rita Ntosi | Nurse Practitioner | 6802 Landon Ct, Greenbelt, MD 20770-3047 | 2011-11-28 |
| 1508858374 | Pamela B Sampson | Nurse Practitioner | 9220 Springhill Ln, Greenbelt, MD 20770-1203 | 2005-08-18 |
| 1083228357 | Irene A Ginczek | Nurse Practitioner | 7231 Hanover Pkwy Ste A, Greenbelt, MD 20770-2027 | 2020-09-03 |
| Find all providers in GREENBELT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.