Individual provider Active NPI

Francis Antwi-Boateng

  • Nutrition Support Pharmacist
  • Wichita, KS
National Provider Identifier
1609207901
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Support PharmacistTaxonomy code 1835N1003X
License
1-15539 Issued in KS
Practice address
9550 E Lincoln St
Apt 212
Wichita, KS 67207-3543
Phone
(816) 379-2967
NPI assigned
Dec 11, 2013
Last updated
Dec 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Support Pharmacist 1835N1003X 1-15539 KS Primary

Addresses

Primary practice location

9550 E Lincoln St
Apt 212
Wichita, KS 67207-3543

Mailing address

9550 E Lincoln St
Apt 212
Wichita, KS 67207-3543
Phone (816) 379-2967

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1-15539KSMDNutrition Support Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1609207901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 E LINCOLN ST",
            "address_2": "APT 212",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672073543",
            "telephone_number": "816-379-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 E LINCOLN ST",
            "address_2": "APT 212",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672073543",
            "telephone_number": "816-379-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTWI-BOATENG",
        "first_name": "FRANCIS",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-11",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "KS",
            "license": "1-15539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.