Individual provider Active NPI

Joseph A Boampong

  • Licensed Practical Nurse
  • Columbus, OH
National Provider Identifier
1215185079
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
129388 IV Issued in OH
Practice address
2047 Yorkhull LN
Apt. D
Columbus, OH 43229-3843
Phone
(614) 218-9294
NPI assigned
Sep 5, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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 129388 IV OH Primary

Addresses

Primary practice location

2047 Yorkhull LN
Apt. D
Columbus, OH 43229-3843

Mailing address

2047 Yorkhull LN
Apt. D
Columbus, OH 43229-3843
Phone (614) 218-9294

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
129388 IVOHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1215185079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2047 YORKHULL LN",
            "address_2": "APT. D",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293843",
            "telephone_number": "614-218-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2047 YORKHULL LN",
            "address_2": "APT. D",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293843",
            "telephone_number": "614-218-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOAMPONG",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-05",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "129388 IV",
            "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 Sep 5, 2008; 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.