Organization Active NPI

Sound Family Practice LLC

  • Family Nurse Practitioner
  • Reynoldsburg, OH
National Provider Identifier
1548096159
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SOUND FAMILY PRACTICE LLC
Practice address
7139 E. Main Street
Reynoldsburg, OH 43068-2013
Phone
(380) 444-6256
Fax
(380) 444-6256
NPI assigned
Sep 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Mrs. Gloria S Boateng, CNPNPI 1528578804
Title
Ceo
Phone
(380) 444-6256

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

7139 E. Main Street
Reynoldsburg, OH 43068-2013

Mailing address

7139 E. Main Street
Reynoldsburg, OH 43068-2013
Phone (380) 444-6256

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250418000917 OH Part B Supplier - Clinic/Group Practice 4981135407 Receives reassigned benefits from 5 practitioners
Practice locations: Reynoldsburg, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2310340Sound Family Practice7139 E Main Street, Reynoldsburg, OH 43068Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1548096159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7139 E. MAIN STREET",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682013",
            "telephone_number": "380-444-6256",
            "fax_number": "380-444-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7139 E. MAIN STREET",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682013",
            "telephone_number": "380-444-6256",
            "fax_number": "380-444-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "BOATENG",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "380-444-6256",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.