Individual provider Active NPI

Kristin Boakye, MD

  • Family Medicine Physician
  • Portsmouth, VA
National Provider Identifier
1457092934
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101286867 Issued in VA
Practice address
1541 High St
Portsmouth, VA 23704-3209
Phone
(757) 393-6363
NPI assigned
Apr 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101286867 VA Primary

Addresses

Primary practice location

1541 High St
Portsmouth, VA 23704-3209

Mailing address

9581 Shore Dr
Norfolk, VA 23518-1711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251121002122 VA Practitioner - Family Practice 2163805631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portsmouth Community Health Center IncGroup PAC ID 1052301835, 5 clinicians

Practice addresses (Care Compare)

1541 High St
Portsmouth, VA 23704-3209
Phone (757) 393-6363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Portsmouth Community Health Center, Inc. CurrentSince Aug 29, 2025 Accepting new patients
Portsmouth Community Health Center Inc CurrentSince Aug 29, 2025 Accepting new patients

Locations

9581 Shore Dr
Norfolk, VA 23518
Phone (757) 393-6363

1541 High St
Portsmouth, VA 23704
Phone (757) 393-6363

664 Lincoln St
Portsmouth, VA 23704
Phone (757) 393-6363

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1457092934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9581 SHORE DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235181711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 HIGH ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237043209",
            "telephone_number": "757-393-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOAKYE",
        "first_name": "KRISTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101286867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.