DANA MARIE BOOTH APRN NPI 1396909289

NPI Information

  • NPI: 1396909289
  • Provider Name: DANA MARIE BOOTH, APRN
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1100 WILFORD HALL LOOP BLDG 4554
    JBSA LACKLAND, TX
    ZIP 78236
  • Phone: (210) 292-2246

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NPI Details

Dana Marie Booth, APRN is a women's health nurse practitioner in Jbsa Lackland, TX. Dana Marie Booth, APRN NPI is 1396909289. 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:

1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX
ZIP 78236-638
Phone: (210) 292-2246

The NPI 1396909289 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/10/2008 and was last updated on 10/17/2024.

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
1363LW0102XNurse PractitionerWomen's Health9478931FLORIDANo
2363LW0102XNurse PractitionerWomen's HealthAP121941TEXASNo
3363LW0102XNurse PractitionerWomen's Health833413TEXASYes

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
110024951000MEDICAIDTEXAS
2101721100MEDICAIDFLORIDA

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: 11/21/2025

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