Individual provider Active NPI

Anthony Zazayma Boakai

  • Case Manager/Care Coordinator
  • Columbus, OH
National Provider Identifier
1720753486
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
TP449117 Issued in OH
Practice address
1608Strone Brooks Lane
Columbus, OH 43229
Phone
(614) 446-5014
NPI assigned
Aug 13, 2021
Last updated
Aug 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X TP449117 OH Primary

Addresses

Primary practice location

1608Strone Brooks Lane
Columbus, OH 43229

Mailing address

1608 Stronebrooks Lane
445 E Dublin Granville Rd
Worthington, OH 43085
Phone (614) 446-5014

Other identifiers 1

IdentifierTypeStateIssuer
TP449117MedicaidOH

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
TP449117OHMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Capassionatecare Home Health LLC Current Accepting new patients
Eve Residential Support LLC Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: anthony.boakai.p1@direct.iamboundless.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1720753486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 STRONEBROOKS LANE",
            "address_2": "445 E DUBLIN GRANVILLE RD",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "43085",
            "telephone_number": "614-446-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608STRONE BROOKS LANE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43229",
            "telephone_number": "614-446-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOAKAI",
        "first_name": "ANTHONY",
        "middle_name": "ZAZAYMA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "TP449117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TP449117",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.