Augustina O Boadu

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

32 Fairhill LN
Indian Head, MD 20640-1577

Phone

(303) 684-2767

NPI assigned

Dec 18, 2019

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

• Augustina O Boadu Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 18, 2019.

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1649818907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 FAIRHILL LN",
            "city": "INDIAN HEAD",
            "state": "MD",
            "postal_code": "206401577",
            "telephone_number": "303-684-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 FAIRHILL LN",
            "city": "INDIAN HEAD",
            "state": "MD",
            "postal_code": "206401577",
            "telephone_number": "303-684-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOADU",
        "first_name": "AUGUSTINA",
        "middle_name": "O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MD",
            "license": "B300074667863",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUGUSTINA",
            "last_name": "BOADU",
            "middle_name": "O",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Danella Armstrong, LPC, NCC
• Caleb Jordan Beattie, IDC
• Alexandra Bennett, CCC-SLP
• Monica L Bilik, PA-C
• Alexander Blake
• Branch Medical Clinic Indian Head
• Gary A Byrum, IDC
• Charles County Health Department
• Hunter Avery Culp, MD
• Bryant Davis

• All providers in Indian Head, MD
• Non-emergency Medical Transport (VAN) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.