MR. YAW BOATENG (NPI# 1053752683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053752683 |
| Entity Type | Individual |
| Full Name | MR. YAW BOATENG |
| Credential | R.D., C.D.E. |
| Practice Address |
635 W Wesmark Blvd Sumter SC 29150-1900 |
| Mailing Address |
2315 Stadium Rd Sumter SC 29154-6158 |
| Practice Telephone | 8034697500 |
| Practice Fax Number | 8034697533 |
| Mailing Telephone | 8034817983 |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2013-07-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
382 | SC | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | 382 | SC | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477555696 | Yaw Ababio Boateng | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2005-06-01 |
| Street Address |
635 W WESMARK BLVD |
| City | SUMTER |
| State | SC |
| Zip Code | 29150-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417941501 | Leslie Andrew Beben | Physician Assistant | 635 W Wesmark Blvd, Sumter, SC 29150-1900 | 2005-09-06 |
| 1083045546 | Lauren Marie Pepin | Physician Assistant | 635 W Wesmark Blvd, Sumter, SC 29150-1900 | 2013-12-10 |
| 1962549899 | Angela Beth Whittle-merchant | Nurse Practitioner | 635 W Wesmark Blvd, Sumter, SC 29150-1900 | 2007-01-31 |
| 1477636652 | Virgina W Ford | Nurse Practitioner | 635 W Wesmark Blvd, Sumter, SC 29150-1900 | 2006-10-23 |
| 1619069481 | Sumter Medical Specialists Pa | Internal Medicine | 635 W Wesmark Blvd, Sumter, SC 29150-1900 | 2006-09-29 |
| 1174615868 | James R Cain IIi | Internal Medicine | 635 W Wesmark Blvd, Sumter, SC 29150-1900 | 2006-09-29 |
| 1194817932 | Pusadee Suchinda | Internal Medicine | 635 W Wesmark Blvd, Sumter, SC 29150-1900 | 2006-09-29 |
| 1437241262 | Usah Lilavivat | Internal Medicine | 635 W Wesmark Blvd, Sumter, SC 29150-1900 | 2006-09-29 |
| 1699707596 | Donna L Atkinson | Registered Nurse | 635 W Wesmark Blvd, Sumter, SC 29150-1900 | 2006-07-07 |
| 1851348064 | Jose R Salcedo-contreras | Internal Medicine | 635 W Wesmark Blvd, Sumter, SC 29150-1900 | 2006-05-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174152557 | Stacey Delene Mcconico | Adult Companion | 201 East Liberty Street, Sumter, SC 29150 | 2020-04-07 |
| 1780227942 | Add Light Home Care LLC | In Home Supportive Care | 698-s Bultman Dr, Suite C-8, Sumter, SC 29150 | 2019-10-21 |
| 1770044075 | Kimberly A Weeks | Technician, Other | 5 E Liberty Street, Sumter, SC 29150 | 2019-03-28 |
| 1689155103 | Chrishena E Craig | Social Worker | 801 N. Pike West, Sumter, SC 29150 | 2018-08-23 |
| 1093200735 | Michael B Coseo | Dietitian, Registered | 1278 N. Lafayette Drive, Sumter, SC 29150 | 2018-06-26 |
| 1790287258 | Keever Murdaugh | Physical Therapy Assistant | 1018 North Guignard Drive, Sumter, SC 29150 | 2018-03-01 |
| 1679094643 | James D Pearson | Emergency Medical Technician, Basic | 9b Willow Drive, Sumter, SC 29150 | 2017-06-29 |
| 1245771781 | Shanekia Littles | In Home Supportive Care | 251 Rast St Unit D-1, Sumter, SC 29150 | 2017-03-16 |
| 1326590415 | Believe In Faith Home Care | In Home Supportive Care | 410 W Liberty St Suite 102, Sumter, SC 29150 | 2016-10-25 |
| 1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
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| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093200735 | Michael B Coseo | Dietitian, Registered | 1278 N. Lafayette Drive, Sumter, SC 29150 | 2018-06-26 |
| 1497119432 | Scott Cook | Dietitian, Registered | 129 N Washington St, Sumter, SC 29150-4949 | 2016-04-06 |
| 1942572193 | Tiffany Oster | Dietitian, Registered | 129 N Washington St, Sumter, SC 29150-4949 | 2012-02-03 |
| 1467756734 | Heather Blazier | Dietitian, Registered | 129 N Washington St, Sumter, SC 29150-4949 | 2010-12-31 |
| 1952604282 | Caroline Durant Thompson | Dietitian, Registered | 129 N Washington St, Sumter, SC 29150-4949 | 2010-12-08 |
| 1871808626 | Michael Crosier | Dietitian, Registered | 129 N Washington St, Sumter, SC 29150-4949 | 2010-08-17 |
| 1083804389 | Kelly Anne Hall | Dietitian, Registered | 129 N Washington St, Sumter, SC 29150-4949 | 2007-08-01 |
| 1326238627 | Elizabeth Ellen Elliott | Dietitian, Registered | 129 N Washington St, Sumter, SC 29150-4949 | 2007-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607134 | Sara Jones | Dietitian, Registered | 30 Northfield Ln, Simpsonville, SC 29681-4443 | 2020-10-19 |
| 1750989364 | Caroline Sledden | Dietitian, Registered | 4003 Hartnett Blvd Apt 2, Isle of Palms, SC 29451-2537 | 2020-10-15 |
| 1689271280 | Ads Ventures | Dietitian, Registered | 306 Bloomfield Ln, Greer, SC 29650-3804 | 2020-10-06 |
| 1487261616 | Lisa Lacroix | Dietitian, Registered | 5010 W Liberty Meadows Dr, Summerville, SC 29485-7939 | 2020-10-01 |
| 1679180087 | Rebecca Sowers | Dietitian, Registered | 125 Sedgebrook Dr, Simpsonville, SC 29681-3541 | 2020-09-29 |
| 1952917346 | Sarah Bishop Mixon | Dietitian, Registered | 755 Falls Rd, Rock Hill, SC 29730-7569 | 2020-09-21 |
| 1063026680 | Laura Piers | Dietitian, Registered | 3 Tabby Shell Rd, Bluffton, SC 29910-5508 | 2020-09-01 |
| 1508476516 | Anna Marie Berner | Dietitian, Registered | 3225 Hatchet Bay Dr Apt 6102, Charleston, SC 29414-5193 | 2020-08-04 |
| 1730798521 | Brooke Allison Brittain | Dietitian, Registered | 200 Booker Dr, Walhalla, SC 29691-2278 | 2020-07-28 |
| 1114535416 | Supriya Lal | Dietitian, Registered | 303 Parkwood Rd, Greenwood, SC 29646 | 2020-07-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.