Antionette Opoku Siaw, CNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.0035030 Issued in OH

Practice address

2021 E Dublin Granville Rd Ste 290
Columbus, OH 43229-3568

Phone

(614) 880-9402

Fax

(614) 880-9401

NPI assigned

Dec 11, 2023

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

Enrolled in OH

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Easton Healthcare Agency, Inc

  • Home Health Agency
  • Columbus, OH
  • NPI 1255532586

  5% Or Greater Direct Ownership Interest, W-2 Managing Employee

  CMS ownership

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.

• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  OH

  Medicare reassignment NPD
• Easton Healthcare Agency, Inc

  • Home Health Agency
  • Columbus, OH
  • NPI 1255532586
  NPD Authorized official

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1821865619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 E DUBLIN GRANVILLE RD STE 290",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293568",
            "telephone_number": "614-880-9402",
            "fax_number": "614-880-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 E DUBLIN GRANVILLE RD STE 290",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293568",
            "telephone_number": "614-880-9402",
            "fax_number": "614-880-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPOKU SIAW",
        "first_name": "ANTIONETTE",
        "credential": "CNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0035030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenya Faye Cheston Opeyemi, APRN-CNM
• Ophthalmic Anesthesia Associates Inc
• Ophthalmic Surgeons & Consultants of Ohio Inc
• Mara Eva Opitz, LISW-S
• Beatrice E. Opiyo, APRN.CNP
• Isaac Opoku-Ansere
• Cindy Opoku-Antwi, NP
• Gloria Opoku-Gyamfi, RN
• Isaac Opoku-Nkrabea
• Anita Opoku

• Family Nurse Practitioner in Columbus, OH
• Providers in Columbus, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.