Active NPI
Ernestina Appiah-Boateng, FNP
- Primary Care Nurse Practitioner
- Reynoldsburg, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 0027720
- Practice address
- 7006 Bennell Dr
Reynoldsburg, OH 43068-9103 - Phone
- (614) 755-6502
- NPI assigned
- Jun 7, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2024397 | OH | |
| Primary Care Nurse Practitioner | 363LP2300X | 0027720 | OH | Primary |
Addresses
Primary practice location
7006 Bennell Dr
Reynoldsburg, OH 43068-9103
Mailing address
500 Kirts Blvd Ste 100
Troy, MI 48084-4135
Phone (248) 434-6169
Other practice location 1
355 E Campus View Blvd Ste 180
Columbus, OH 43235-5680
Phone (614) 840-1688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EIN 45-2476661. | Other | OH | HOME HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024397 | OH | MD | Registered Nurse |
| 0027720 | OH | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Current | Accepting new patients | |
| Excellence Home Healthcare LLC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients |
Locations
500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000
355 E Campus View Blvd
Ste 180
Columbus, OH 43235
Phone (614) 523-2155
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Excellence Home Healthcare LLC | Home health agency | 5% Or Greater Direct Ownership Interest (96%) Corporate Director |
Jul 5, 2011 Jul 5, 2011 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Columbus, OH
- NPI 1457630907
5% Or Greater Direct Ownership Interest, Corporate Director
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Middleburg Heights, OH
- NPI 1932386059
-
- Home Health Agency
- Columbus, OH
- NPI 1457630907
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1457549529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1588958524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 KIRTS BLVD STE 100",
"city": "TROY",
"state": "MI",
"postal_code": "480844135",
"telephone_number": "248-434-6169",
"fax_number": "855-618-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7006 BENNELL DR",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430689103",
"telephone_number": "614-755-6502"
}
],
"practiceLocations": [
{
"address_1": "355 E Campus View Blvd Ste 180",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432355680",
"country_code": "US",
"telephone_number": "614-840-1688",
"fax_number": "614-840-1689",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "APPIAH-BOATENG",
"first_name": "ERNESTINA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-07",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "2024397",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "OH",
"license": "0027720",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME HEALTHCARE",
"identifier": "EIN 45-2476661.",
"state": "OH"
}
],
"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 Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.