Organization Active NPI

Akwaaba Care LLC

  • Family Nurse Practitioner
  • Pittsfield, MA
National Provider Identifier
1407477151
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
AKWAABA CARE LLC
Practice address
1450 East St Ste 7
Pittsfield, MA 01201-5319
Phone
(413) 728-9801
Fax
(833) 989-2283
NPI assigned
May 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Authorized official

Name
Samuel Boateng, CRNPNPI 1790162527
Title
Family Nurse Practitioner
Phone
(914) 356-3050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1450 East St Ste 7
Pittsfield, MA 01201-5319

Mailing address

1450 East St Ste 7
Pittsfield, MA 01201-5319
Phone (413) 728-9801

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL laptop Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200707002401 MA Part B Supplier - Clinic/Group Practice 1153744388 Receives reassigned benefits from 2 practitioners
Practice locations: Pittsfield, MA

National Provider Directory

National Provider Directory

Locations

1450 East St
Ste 7
Pittsfield, MA 01201
Phone (413) 728-9801

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21328/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1407477151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 EAST ST STE 7",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015319",
            "telephone_number": "413-728-9801",
            "fax_number": "833-989-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 EAST ST STE 7",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015319",
            "telephone_number": "413-728-9801",
            "fax_number": "833-989-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKWAABA CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-05",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "BOATENG",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "914-356-3050",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "826 south sandisfield rd",
            "city": "new marlborough",
            "state": "MA",
            "country_code": "US",
            "postal_code": "01230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.