Akosua Owusuah Boakye-Yiadom, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5016688 Issued in NC

Practice address

2401 Tuckaseegee Rd
Charlotte, NC 28208-4058

Phone

(704) 409-3000

NPI assigned

Aug 15, 2022

Last updated

Aug 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1699493858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 COPPER TOP CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282141966",
            "telephone_number": "973-666-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 TUCKASEEGEE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282084058",
            "telephone_number": "704-409-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOAKYE-YIADOM",
        "first_name": "AKOSUA",
        "middle_name": "OWUSUAH",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5016688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arleen M Blythe, LPTA
• Gretta Hall Blythe, RN, IBCLC
• Katie Lashanda Blythe, LCSWA
• BMH Connect
• Linda N/a Boakye-Agyemang, FNP-BC
• Lynn Amy Boardman, MD
• Beverly Boarts
• David Antwi Boasiako, PHARMD
• Angela Jochebed Boateng, MD
• Rose M Boateng

• Family Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.