Individual provider Active NPI

Sia Ebitomi M Boateng, DNP

  • Family Nurse Practitioner
  • Henrico, VA
National Provider Identifier
1073460754
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024197759 Issued in VA
Practice address
8006 Discovery Dr Ste 400
Henrico, VA 23229-8600
Phone
(804) 256-8282
NPI assigned
Mar 12, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024197759 VA Primary

Addresses

Primary practice location

8006 Discovery Dr Ste 400
Henrico, VA 23229-8600

Mailing address

7300 Ashlake Pkwy Ste 200
Chesterfield, VA 23832-2827
Phone (804) 256-8282

Other practice location 1

7300 Ashlake Pkwy Ste 200
Chesterfield, VA 23832-2827
Phone (804) 256-8282

Other practice location 2

2035 Waterside Rd Ste 105
Prince George, VA 23875-1265
Phone (804) 256-8282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1117 Lovely Lane
Henrico, VA 25413-3763

7300 Ashlake Pkwy
Suite 200
Chesterfield, VA 23832-2827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0001312098VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalcare Family LLC Multi-Specialty CurrentSince Jun 30, 2026 Accepting new patients
Nourish2Flourishrva LLC Multi-Specialty PastSince Jun 30, 2026 Accepting new patients

Locations

7300 Ashlake Pkwy
Ste 200
Chesterfield, VA 23832
Phone (804) 256-8282

8006 Discovery Dr
Ste 400
Richmond, VA 23229
Phone (804) 256-8282

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCGCBD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1773273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1073460754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 ASHLAKE PKWY STE 200",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238322827",
            "telephone_number": "804-256-8282",
            "fax_number": "804-256-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8006 DISCOVERY DR STE 400",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232298600",
            "telephone_number": "804-256-8282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7300 Ashlake Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "VA",
            "postal_code": "238322827",
            "country_code": "US",
            "telephone_number": "804-256-8282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2035 Waterside Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Prince George",
            "state": "VA",
            "postal_code": "238751265",
            "country_code": "US",
            "telephone_number": "804-256-8282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOATENG",
        "first_name": "SIA EBITOMI",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-12",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024197759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.