Alexis Boatemaah Nketiah, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024176303 Issued in VA

Practice address

6360 Hoadly Rd
Manassas, VA 20112-3422

Phone

(866) 389-2727

NPI assigned

Aug 7, 2018

Last updated

Sep 17, 2018By 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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1972082477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 HOADLY RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201123422",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 HOADLY RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201123422",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKETIAH",
        "first_name": "ALEXIS",
        "middle_name": "BOATEMAAH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Nicklas
• Ana Nieves
• Grace A Nimoh
• Anulika Adaeze Njubigbo
• Afia Nkansah Boakye, PHARMACIST
• Joyce Nkrumah
• NMG Affiliate Practice I LLC (Novant Health UVA Health System Virginia Internal Medicine & Primary C)
• NMG Affiliate Practice I, LLC (UVA Diabetes and Nutrition Manassas)
• NMG Affiliate Practice I, LLC (Novant Health Prince William Cardiology)
• NMG Affiliate Practice I, LLC (UVA Bariatric Surgery Manassas)

• Family Nurse Practitioner in Manassas, VA
• Providers in Manassas, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; 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.