Individual provider Active NPI

Josephine Boadi Agyapong, FNP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1104208347
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP 16073 Issued in OH
Practice address
3030 Cooper Bluff Dr
Columbus, OH 43231-2959
Phone
(614) 815-9047
NPI assigned
Jun 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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 NP 16073 OH Primary

Addresses

Primary practice location

3030 Cooper Bluff Dr
Columbus, OH 43231-2959

Mailing address

3030 Cooper Bluff Dr
Columbus, OH 43231-2959
Phone (614) 815-9047

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

State licenses

LicenseStateTypeSpecialty
NP 16073OHMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1104208347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 COOPER BLUFF DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432312959",
            "telephone_number": "614-815-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 COOPER BLUFF DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432312959",
            "telephone_number": "614-815-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGYAPONG",
        "first_name": "JOSEPHINE",
        "middle_name": "BOADI",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP 16073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.