Individual provider Active NPI

Angela Bova

  • Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1053024836
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0032869 Issued in OH
Practice address
7763 Montgomery Rd
Cincinnati, OH 45236-4201
Phone
(513) 891-5438
NPI assigned
Dec 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0032869 OH Primary

Addresses

Primary practice location

7763 Montgomery Rd
Cincinnati, OH 45236-4201

Mailing address

3949 Legendary Ridge LN
Cleves, OH 45002-2395
Phone (513) 467-0243

Other practice location 1

3949 Legendary Ridge Ln
Cleves, OH 45002-2395
Phone (513) 467-0243

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL nextech

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)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1053024836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3949 LEGENDARY RIDGE LN",
            "city": "CLEVES",
            "state": "OH",
            "postal_code": "450022395",
            "telephone_number": "513-467-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7763 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452364201",
            "telephone_number": "513-891-5438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3949 Legendary Ridge Ln",
            "address_purpose": "LOCATION",
            "city": "Cleves",
            "state": "OH",
            "postal_code": "450022395",
            "country_code": "US",
            "telephone_number": "513-467-0243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOVA",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-27",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0032869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "nextech",
            "affiliation": "N",
            "address_1": "7763 Montgomery Rd",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452364201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.