Rb Angels Haven Health Center PLLC
NPI 1669318564ActiveOrganization· Nurse Practitioner, Gerontology· Washington, DC
Nurse Practitioner, Gerontology in Washington, District of Columbia, registered in NPPES in April 2026. The authorized official on file is Mary Tessie Thullah Bangura, MD, Dnp. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1669318564 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 24, 2026 |
| Last updated in NPPES | Aug 19, 2026 |
| Certified by provider | Aug 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (DC) |
|---|
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