Individual provider Active NPI

Naana Boahemaa Badu

  • Licensed Practical Nurse
  • Monroe, OH
National Provider Identifier
1174776371
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN126198 Issued in OH
Practice address
255 Bridle Pass Way
Monroe, OH 45050
Phone
(513) 580-9546
Fax
(513) 580-9546
NPI assigned
Oct 31, 2008
Last updated
Feb 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN126198 OH Primary

Addresses

Primary practice location

255 Bridle Pass Way
Monroe, OH 45050

Mailing address

255 Bridle Pass Way
Monroe, OH 45050-1486
Phone (513) 580-9546

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PN126198OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1174776371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 BRIDLE PASS WAY",
            "city": "MONROE",
            "state": "OH",
            "postal_code": "450501486",
            "telephone_number": "513-580-9546",
            "fax_number": "513-580-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 BRIDLE PASS WAY",
            "city": "MONROE",
            "state": "OH",
            "postal_code": "45050",
            "telephone_number": "513-580-9546",
            "fax_number": "513-580-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADU",
        "first_name": "NAANA",
        "middle_name": "BOAHEMAA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN126198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.