Maltida Boateng, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2023102217 Issued in VA

Practice address

20130 Lakeview Center PLZ Ste 400
Ashburn, VA 20147-5905

Phone

(703) 865-2144

NPI assigned

Sep 7, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

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.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

PA Post Acute Services PCGroup PAC ID 7911374905, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AFDBED/Endpoint/AFDBED
• FHIR API: https://fhir4.healow.com/fhir/r4/FAJEBD/Endpoint/FAJEBD

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.

• PA Post Acute Services PC

  • General Practice Physician
  • Masury, OH
  • NPI 1255057063

  DC, VA

  Medicare reassignment Care Compare group NPD
• Five Star Home Health Care LLC

  • Home Health Agency
  • Chantilly, VA
  • NPI 1619118528

  DC

  Medicare reassignment
• Five Star House Calls LLC

  • Primary Care Nurse Practitioner
  • Chantilly, VA
  • NPI 1730043506

  DC

  Medicare reassignment
• CNP Operating Co LLC

  • Multi-Specialty Clinic/Center
  • Salisbury, MD
  • NPI 1518386739

  DC, VA

  Medicare reassignment

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1124804877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12504 QUARTERHORSE LN",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221926370",
            "telephone_number": "703-389-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20130 LAKEVIEW CENTER PLZ STE 400",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475905",
            "telephone_number": "703-865-2144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12504 Quarterhorse Ln",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221926370",
            "country_code": "US",
            "telephone_number": "703-389-0608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOATENG",
        "first_name": "MALTIDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "2023102217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Bliven
• Andrew E Bluhm, DDS
• Bluhm, Dorsch and Vandervort, PC
• Elizabeth Blumenthal, FNP
• BNFC LLC
• Lina Fernanda Bobadilla Bello, DMD
• Joanna M. Bock, M.D.
• Brooke Rosman Bokor, MD, MPH
• Jeremy Bordelon
• Dianne Lesher Borghese, RPH

• Nurse Practitioner in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.