Active NPI
Kristin Boakye, MD
- Family Medicine Physician
- Portsmouth, VA
National Provider Identifier
1457092934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101286867
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portsmouth Community Health Center, Inc. | Current | Accepting new patients | |
| Portsmouth Community Health Center Inc | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Portsmouth, VA
- NPI 1134199193
-
- Federally Qualified Health Center (FQHC)
- Norfolk, VA
- NPI 1144604877
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.