MRS. KATHRYN G. BOOTH N.P. NPI 1588642672

NPI Information

NPI: 1588642672
Provider Name: MRS. KATHRYN G. BOOTH, N.P.
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

PECOS Registration: Yes

Address:
5 CALDWELL RD
AUGUSTA, ME
ZIP 04330
Phone: (207) 623-1322
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MRS. Kathryn G. Booth, N.P. is an obstetrics and gynecology nurse practitioner in Augusta, ME. MRS. Kathryn G. Booth, N.P. NPI is 1588642672. 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:

5 CALDWELL RD
AUGUSTA, ME
ZIP 04330-739
Phone: (207) 623-1322

The NPI 1588642672 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 1/9/2006 and was last updated on 11/28/2012.

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	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	R024245	MAINE	Yes

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	1041748	OTHER	MAINE	AETNA
2	D03548	OTHER	MAINE	HARVARD PILGRAM
3	MM0277	MEDICARE ID-TYPE UNSPECIFIED	MAINE
4	000975	OTHER	MAINE	ANTHEM
5	287710099	MEDICAID	MAINE
6	0449265	OTHER	MAINE	CIGNA

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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