Linda N/a Boakye-Agyemang, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5018754 Issued in NC

Practice address

1540 S Church St Ste E
Charlotte, NC 28203-5476

Phone

(704) 340-6646

NPI assigned

Jun 9, 2023

Last updated

Sep 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695427200000",
    "number": "1861176034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 VALLEY VIEW LN STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445071",
            "telephone_number": "704-340-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 S CHURCH ST STE E",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035476",
            "telephone_number": "704-340-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOAKYE-AGYEMANG",
        "first_name": "LINDA",
        "middle_name": "N/A",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-09-23",
        "certification_date": "2023-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5018754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristyn Bly, LCMHC
• Arleen M Blythe, LPTA
• Gretta Hall Blythe, RN, IBCLC
• Katie Lashanda Blythe, LCSWA
• BMH Connect
• Akosua Owusuah Boakye-Yiadom, NP-C
• Lynn Amy Boardman, MD
• Beverly Boarts
• David Antwi Boasiako, PHARMD
• Angela Jochebed Boateng, MD

• Family Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2023; 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.