Emmanuel Kwaku Boateng

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

146184 Issued in OH

Practice address

945 Sleepy Hollow Dr
Monroe, OH 45050-1759

Phone

(513) 360-0865

NPI assigned

Feb 25, 2012

Last updated

Feb 25, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1330128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330128000000",
    "number": "1215201074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 SLEEPY HOLLOW DR",
            "city": "MONROE",
            "state": "OH",
            "postal_code": "450501759",
            "telephone_number": "513-360-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 SLEEPY HOLLOW DR",
            "city": "MONROE",
            "state": "OH",
            "postal_code": "450501759",
            "telephone_number": "513-360-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOATENG",
        "first_name": "EMMANUEL",
        "middle_name": "KWAKU",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-25",
        "last_updated": "2012-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "146184",
            "primary": true
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "OH",
            "license": "146184",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2998243",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regina Baffoe
• Benita F Barrett, RN
• Teresa May Belouchi, LISW-S
• Emily Blankenship
• Bloomwell Billing
• Gifty Boateng, PROVIDER
• Octavie Bougang
• Brondon Foot and Ankle LLC
• Kimberli Brooks
• Quinthony Royce Brown, LPN

• Licensed Practical Nurse in Monroe, OH
• Providers in Monroe, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2012; 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.