Grace N/a Num-Boatemaa, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1172140 Issued in TX

Practice address

1545 Pulaski Hwy
Bear, DE 19701-1303

Phone

(302) 544-1395

Fax

(302) 544-1395

NPI assigned

Nov 14, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Grace N/a Num-Boatemaa Professional name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Barakath

  • Urgent Care Clinic/Center
  • Spring, TX
  • NPI 1144072364
  Medicare reassignment NPD
• Best Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • Willis, TX
  • NPI 1720621246
  Medicare reassignment NPD
• Fattah PLLC

  • Internal Medicine Physician
  • Spring, TX
  • NPI 1659249704
  NPD

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1609640119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20212 CHAMPION FOREST DR STE 100",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773798781",
            "telephone_number": "346-478-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 PULASKI HWY",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011303",
            "telephone_number": "302-544-1395",
            "fax_number": "302-544-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUM-BOATEMAA",
        "first_name": "GRACE",
        "middle_name": "N/A",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-14",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0012566",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1172140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "NUM-BOATEMAA",
            "middle_name": "N/A",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Minh Vu Nguyen
• No Place Like Home LLC
• Stacy Noel, FNP
• Courtney E Norris, COTA
• John David North
• Elizabeth Nzomo
• Ozlem Oguz
• Jennifer Okagbare, FNP
• Nneamaka Okereh, RN-BC, FNP-BC
• Selda Oktay

• Family Nurse Practitioner in Bear, DE
• Providers in Bear, DE by specialty
• Family Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.