KATHY L BOOTHBY APRN NPI 1427032432

NPI Information

NPI: 1427032432
Provider Name: KATHY L BOOTHBY, APRN
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
54 ATLANTIC PL
BEACON HOSPICE/AMEDISYS
SOUTH PORTLAND, ME
ZIP 04106
Phone: (207) 772-0929
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Kathy L Boothby, APRN is an adult health nurse practitioner in South Portland, ME. Kathy L Boothby, APRN NPI is 1427032432. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

54 ATLANTIC PL
BEACON HOSPICE/AMEDISYS
SOUTH PORTLAND, ME
ZIP 04106-316
Phone: (207) 772-0929

The enumeration date for this NPI number is 12/2/2005 and was last updated on 2/27/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	CNP81113	MAINE	Yes
2	363LA2200X	Nurse Practitioner	Adult Health	036390-23	NEW HAMPSHIRE	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1427032432	OTHER	MASSACHUSETTS	BCBS
2	30343033	MEDICAID	NEW HAMPSHIRE
3	000987403	MEDICARE PIN	MAINE
4	NP3963	MEDICARE PIN	NEW HAMPSHIRE
5	E400362723	MEDICARE PIN	MAINE
6	40Y007193NH01	OTHER		ANTHEM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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