Active NPI
Vida Anita Boafo, NP
- Family Nurse Practitioner
- Fairfield, OH
National Provider Identifier
1760785760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA. 18424-NP
- Practice address
- 7161 Dixie Hwy
Fairfield, OH 45014-5542 - Phone
- (513) 737-1691
- NPI assigned
- Dec 13, 2010
- Last updated
- Jun 5, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA. 18424-NP | OH | Primary |
| Registered Nurse | 163W00000X | RN352692 | OH |
Addresses
Primary practice location
7161 Dixie Hwy
Fairfield, OH 45014-5542
Mailing address
7161 Dixie Hwy
Fairfield, OH 45014-5542
Phone (513) 973-9240
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN352692 | OH | MD | Registered Nurse |
| COA. 18424-NP | OH | MD | Family Nurse Practitioner |
Organizations & group practices 1
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": "1292198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1760785760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7161 DIXIE HWY",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450145542",
"telephone_number": "513-973-9240",
"fax_number": "513-401-9399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7161 DIXIE HWY",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450145542",
"telephone_number": "513-737-1691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOAFO",
"first_name": "VIDA",
"middle_name": "ANITA",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-13",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA. 18424-NP",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN352692",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.