Individual provider Active NPI

Angela Addae-Aboagye

  • Nurse's Aide
  • Fargo, ND
National Provider Identifier
1861230351
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
82303 Issued in ND
Practice address
4466 47TH St S Apt 309
Fargo, ND 58104-4368
Phone
(706) 254-6417
NPI assigned
Jul 18, 2024
Last updated
Jul 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 82303 ND Primary

Addresses

Primary practice location

4466 47TH St S Apt 309
Fargo, ND 58104-4368

Mailing address

PO Box 9472
Fargo, ND 58106-9472
Phone (706) 254-6417

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
82303NDMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Living LLC CurrentSince Jul 28, 2024 Accepting new patients
Southern Living LLC CurrentSince Dec 22, 2024 Accepting new patients

Organizations & group practices 2

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": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1861230351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9472",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581069472",
            "telephone_number": "706-254-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4466 47TH ST S APT 309",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044368",
            "telephone_number": "706-254-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDAE-ABOAGYE",
        "first_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "ND",
            "license": "82303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.