YANDAMA BANGURA


Address: 100 W Lehigh Ave, Philadelphia, PA 19133-4039
Phone: 2152033000

YANDAMA BANGURA (NPI# 1083166045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083166045
Entity Type Individual
Full Name YANDAMA BANGURA
Practice Address 100 W Lehigh Ave
Philadelphia
PA 19133-4039
Practice Telephone 2152033000
Mailing Telephone 2152033000
Enumeration Date 2016-10-25
Last Update Date 2016-10-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
SP016689 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 100 W LEHIGH AVE
City PHILADELPHIA
State PA
Zip Code 19133-4039

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184650137 Megan Wynne Psychiatry & Neurology 100 W Lehigh Ave, Cohmhar, Philadelphia, PA 19133-4039 2006-06-23
1982189361 Nicolas Rojas Nurse Practitioner 100 W Lehigh Ave, Philadelphia, PA 19133-4097 2018-10-01
1659893006 Cara Gouldey Nurse Practitioner 100 W Lehigh Ave, Philadelphia, PA 19133-4039 2017-07-07
1619211315 Laura Alene Mcfetridge Social Worker 100 W Lehigh Ave, Philadelphia, PA 19133-4039 2012-11-19
1588908263 Karen S Preyer Social Worker 100 W Lehigh Ave, Philadelphia, PA 19133-4039 2012-11-19
1184857583 Marylynn Bernier Registered Nurse 100 W Lehigh Ave, Philadelphia, PA 19133-4039 2009-09-01
1366611691 Deann Giles Speech-Language Pathologist 100 W Lehigh Ave, Philadelphia, PA 19133-4039 2008-02-20
1124296934 Jennifer Wai Prince Speech-Language Pathologist 100 W Lehigh Ave, Philadelphia, PA 19133-4039 2008-02-14
1851579205 Julia Margaret Ripley Speech-Language Pathologist 100 W Lehigh Ave, Philadelphia, PA 19133-4039 2008-02-07
1013043702 Comhar, Inc Community/Behavioral Health 100 W Lehigh Ave, Philadelphia, PA 19133-4097 2007-02-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427525708 Delia Maria Home Care Agency LLC Home Health Aide 2945-47 N. 5th Street, Philadelphia, PA 19133 2018-10-25
1215417738 Ajaj Medical Equipment & Supplies Durable Medical Equipment & Medical Supplies 3116 North Front St, Philadelphia, PA 19133 2018-08-14
1730636101 Martha Pinto Registered Nurse 412 W. Lehigh Avenue, Philadelphia, PA 19133 2016-09-02
1295105989 Mariana Arguelles-alcazar Technician, Other 216 W. Somerset St, Esfuerzo Program, Philadelphia, PA 19133 2015-10-07
1750785457 Cinthya M Gonzalez Reveron Speech-Language Pathologist 2215 N American Street, Philadelphia, PA 19133 2014-10-09
1306166434 Roberto Hilario Counselor 29297 North 5th Street, Philadelphia, PA 19133 2010-06-11
1598919300 Pan American Academy Charter School Local Education Agency (LEA) 126 West Dauphin Street, Philadelphia, PA 19133 2008-11-06
1518157114 Jennifer Leah Hoffman Registered Nurse 452 W. Allegheny Ave, Philadelphia, PA 19133 2007-07-30
1245441534 Mark D. Lyons Physician Assistant 452 W. Allegheny Ave., Phila., PA 19133 2007-05-25
1104037613 Christian Santana Dentist 29 10 North 5th Street, Phila, PA 19133 2007-05-25
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1770192775 Lisa Ghiloni Nurse Practitioner 6809 N 10th St, Philadelphia, PA 19126-2906 2020-07-26
1104440940 Patricia Cecilia Castillo Nurse Practitioner 49204 Delaire Landing Rd, Philadelphia, PA 19114-5329 2020-06-06
1184271074 Clement John Nurse Practitioner 3253 N 6th St, Philadelphia, PA 19140-5644 2019-08-25
1558915967 Latoya Mohammed Nurse Practitioner 3300 Henry Ave Ste 3n, Philadelphia, PA 19129-1141 2019-07-25
1225427867 Alison Ercole Nurse Practitioner 4301 Spruce St, Apt A 414, Philadelphia, PA 19104-4760 2015-01-20
1790195386 Thomasean Britten Nurse Practitioner 449 Parker Ave, Philadelphia, PA 19128-4403 2014-05-05
1891048377 Elizabeth Ann Milburn Nurse Practitioner 1528 Walnut St Ste 1414, Philadelphia, PA 19102-3610 2012-10-20
1336410851 Justin Egoville Nurse Practitioner 80001 State Rd., Mhm Correctional Services, Mod II, Philadelphia, PA 19136-0000 2012-01-13
1396050720 Dwayne M Toomer Nurse Practitioner 718 Addison St Apt E, Philadelphia, PA 19147-1353 2010-08-10
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Competitor

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City PHILADELPHIA
Zip Code 19133

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Dataset Information

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.

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