Active NPI
Boeui Kang
- Primary Care Nurse Practitioner
- Washington, DC
National Provider Identifier
1750023537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- NP1036277
- Practice address
- 2021 K St NW
Washington, DC 20006-1003 - Phone
- (202) 466-8118
- NPI assigned
- Apr 11, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | NP1036277 | DC | Primary |
Addresses
Primary practice location
2021 K St NW
Washington, DC 20006-1003
Mailing address
2021 K St NW Ste 404
Washington, DC 20006-1003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231108001751 | MD | Order and Referring Only - Nurse Practitioner | 9133576440 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP1036277 | DC | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649635200000",
"number": "1750023537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 K ST NW STE 404",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200061003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 K ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200061003",
"telephone_number": "202-466-8118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "BOEUI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-11",
"last_updated": "2022-04-11",
"certification_date": "2022-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "DC",
"license": "NP1036277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.