Individual provider Active NPI

Freda Amoaa Boakye

  • Nurse Practitioner
  • Waco, TX
National Provider Identifier
1568620987
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1228529 Issued in TX
Practice address
321 Richland West Cir
Waco, TX 76712-7919
Phone
(513) 282-9239
NPI assigned
Jun 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.952084 TX
Nurse Practitioner 363L00000X 1228529 TX Primary

Addresses

Primary practice location

321 Richland West Cir
Waco, TX 76712-7919

Mailing address

11112 Haviture Way Unit a
Waco, TX 76708-7160
Phone (513) 282-9239

Other practice location 1

11112 Haviture Way
Waco, TX 76708-7160
Phone (513) 282-9239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260313001218 TX Practitioner - Nurse Practitioner 1951884329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Phillip Myatt MD PLLCGroup PAC ID 6305089749, 8 clinicians

Practice addresses (Care Compare)

321 Richland W Cir
Waco, TX 76712-7919
Phone (254) 235-9355

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.952084TXMDRegistered Nurse
1228529TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
J. Phillip Myatt, M.D., PLLC Dba Waco Heart & Vascular CurrentSince Mar 3, 2026 Accepting new patients

Locations

321 Richland West Cir
Waco, TX 76712
Phone (254) 756-4457

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1568620987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11112 HAVITURE WAY UNIT A",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767087160",
            "telephone_number": "513-282-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 RICHLAND WEST CIR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767127919",
            "telephone_number": "513-282-9239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11112 Haviture Way",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767087160",
            "country_code": "US",
            "telephone_number": "513-282-9239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOAKYE",
        "first_name": "FREDA",
        "middle_name": "AMOAA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "RN.952084",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1228529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.