MICHELLE COLLINS BOOTHE PA-C NPI 1457660102

NPI Information

  • NPI: 1457660102
  • Provider Name: MICHELLE COLLINS BOOTHE, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 803 MEYERS BAKER RD
    SUITE 200
    LONDON, KY
    ZIP 40741
  • Phone: (606) 878-4300

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NPI Details

Michelle Collins Boothe, PA-C is a physician assistant in London, KY with 15 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Michelle Collins Boothe, PA-C NPI is 1457660102. 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:

803 MEYERS BAKER RD
SUITE 200
LONDON, KY
ZIP 40741-039
Phone: (606) 878-4300
Fax: (606) 878-4308

The NPI 1457660102 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Urinalysis, manual test (HCPCS:81002)
  • Routine electrocardiogram (ecg) using at least 12 leads with tracing (HCPCS:93005)
  • Screening mammography (HCPCS:77067)

The enumeration date for this NPI number is 9/29/2010 and was last updated on 2/5/2014.

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
1363A00000XPhysician AssistantPA1581KENTUCKYYes

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
17100025690MEDICAIDKENTUCKY
2P400040980MEDICARE PINKENTUCKY

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: 3/30/2025

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