J'Angelique Boddie

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

145329 Issued in OH

Practice address

6116 McNaughten Ctr
Columbus, OH 43232-1641

Phone

(614) 483-9192

Fax

(614) 861-4601

NPI assigned

Nov 29, 2024

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Future Scholars Pediatric Development Center LLC

  • Behavior Analyst
  • Columbus, OH
  • NPI 1952236697
  NPD Authorized official

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

{
    "created_epoch": "1732838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1326864836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2046 HAVENSWOOD PL",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430048513",
            "telephone_number": "614-483-9192",
            "fax_number": "614-861-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 MCNAUGHTEN CTR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432321641",
            "telephone_number": "614-483-9192",
            "fax_number": "614-861-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODDIE",
        "first_name": "J'ANGELIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-29",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "145329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Marie Bockenstedt, MD
• Jason Elliot Bockis, R.PH.
• Haley Bodager
• Emily Elizabeth Bodamer, MSN, APRN, PMHNP-BC
• Samanta Boddapati
• Karen Elaine Boddie
• Thomas Anthony Boddie
• Courtney Dawn Bode, CNP
• Ryan S Bode, MD
• Sara M Bode, M.D.

• Licensed Practical Nurse in Columbus, OH
• Providers in Columbus, 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 Nov 29, 2024; 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.