Active NPI
Emma Boateng
- Psychiatric/Mental Health Nurse Practitioner
- Woodbridge, VA
National Provider Identifier
1740936780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0024183745
- Practice address
- 14623 Aurora Dr
Woodbridge, VA 22193-1231 - Phone
- (571) 309-1619
- NPI assigned
- Feb 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024183745 | VA | Primary |
Addresses
Primary practice location
14623 Aurora Dr
Woodbridge, VA 22193-1231
Mailing address
14623 Aurora Dr
Woodbridge, VA 22193-1231
Phone (571) 309-1619
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2501 Hunter PL
Suite 202
Woodbridge, VA 22192-3940
Phone (855) 284-7483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024183745 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| We Care Wellness LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Thrive Counseling LLC | Current | Accepting new patients | |
| Virginia Center for Psychological Services PLLC | Past | Accepting new patients |
Locations
5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498
2501 Hunter Pl
Ste 202
Woodbridge, VA 22192
Phone (304) 940-9724
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Lynchburg, VA
- NPI 1215181300
-
- Psychiatric/Mental Health Nurse Practitioner
- Woodbridge, VA
- NPI 1184470056
-
- Adult Mental Health Clinic/Center
- Ashburn, VA
- NPI 1144056045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646092800000",
"number": "1740936780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14623 AURORA DR",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221931231",
"telephone_number": "571-309-1619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14623 AURORA DR",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221931231",
"telephone_number": "571-309-1619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOATENG",
"first_name": "EMMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-28",
"last_updated": "2022-03-01",
"certification_date": "2022-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VA",
"license": "0024183745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.