AMBER M BOOTH (NPI# 1003167016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003167016 |
Entity Type | Individual |
Full Name | AMBER M BOOTH |
Practice Address |
20402 N 15th Ave Phoenix AZ 85027-3636 |
Practice Telephone | 6234454952 |
Practice Fax Number | 6234455083 |
Mailing Telephone | 6234454952 |
Mailing Fax Number | 6234455083 |
Enumeration Date | 2012-10-01 |
Last Update Date | 2012-10-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 164X00000X | Licensed Vocational Nurse | TLP048691 | AZ | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720609308 | Amber Booth | Behavioral Analyst | 2428 N Grand Ave Ste K, Santa Ana, CA 92705-8708 | 2020-05-05 |
1699312108 | Amber Booth | Behavior Technician | 107 Weatherstone Dr Ste 530, Woodstock, GA 30188-7006 | 2019-12-03 |
1285027243 | Amber Booth | Rehabilitation Practitioner | 8019 Compton Ave, Los Angeles, CA 90001 | 2015-03-13 |
Street Address |
20402 N 15TH AVE |
City | PHOENIX |
State | AZ |
Zip Code | 85027-3636 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629101407 | Deer Valley Unified School District #97 | Local Education Agency (LEA) | 20402 N 15th Ave, Phoenix, AZ 85027-3636 | 2007-03-13 |
1083224471 | Shauna M Miller | Registered Nurse | 20402 N 15th Ave, Phoenix, AZ 85027-3636 | 2020-07-31 |
1346859659 | Sarah Bodnar | Speech-Language Pathologist | 20402 N 15th Ave, Phoenix, AZ 85027-3636 | 2020-07-23 |
1699384875 | Natalie Claire Mcdaniel | Speech-Language Pathologist | 20402 N 15th Ave, Phoenix, AZ 85027-3636 | 2020-07-23 |
1043860869 | Kathy Louise Gunderson | Registered Nurse | 20402 N 15th Ave, Phoenix, AZ 85027-3636 | 2019-09-13 |
1609424241 | Meredith Graffious | Speech-Language Pathologist | 20402 N 15th Ave, Phoenix, AZ 85027-3636 | 2019-08-27 |
1205319233 | Hannah Seidel | Speech-Language Pathologist | 20402 N 15th Ave, Phoenix, AZ 85027-3636 | 2018-09-14 |
1861971798 | Amber Mccrite | Occupational Therapist | 20402 N 15th Ave, Phoenix, AZ 85027 | 2018-08-10 |
1700395217 | Carolyn Sue Stier | Speech-Language Pathologist | 20402 N 15th Ave, Phoenix, AZ 85027-3636 | 2017-09-27 |
1295277960 | Lisa Marie Glover | Registered Nurse | 20402 N 15th Ave, Phoenix, AZ 85027-3636 | 2016-11-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891306312 | Ashley Nicole Felipe | Registered Nurse | 25700 N 21st Ave, Phoenix, AZ 85027 | 2020-08-10 |
1942784376 | Crystal Rodriguez | Dentist | 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 | 2018-09-21 |
1790284776 | Lydia Kuuipo Chong | Nurse Practitioner | 20414 N 27th Ave #300, Phoenix, AZ 85027 | 2018-02-06 |
1457867004 | Kristi Marie Mathews | Nurse Practitioner | 19829 N 29th Avenue, Phoenix, AZ 85027 | 2017-12-19 |
1710348362 | The Empower House, LLC | Community Based Residential Treatment Facility, Mental Illness | 18631 N. 19th Ave., Suite 158-305, Phoenix, AZ 85027 | 2016-03-10 |
1972979656 | Dr Daniel H Yohannes D.d.s., PC | Dentist | 602 W. Union Hills Dr, #8, Phoenix, AZ 85027 | 2015-08-17 |
1013346857 | Dentistry At 35th Avenu | Dentist | 18635 N 35th Avenue, Phoenix, AZ 85027 | 2013-11-02 |
1437592102 | Ammar Alobaidy | Psychiatry & Neurology | 21410 N 19th Ave Ste 151, Phoenix, AZ 85027 | 2013-04-12 |
1588900021 | Jill Elizabeth Maroscia | Social Worker | 19636 N 27th Ave #106, Phoenix, AZ 85027 | 2013-01-02 |
1124394515 | Sfjg Holdings LLC | Dentist | 3414 W. Union Hills Dr, Suite 12 & 14, Phoenix, AZ 85027 | 2012-03-29 |
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Taxonomy Code | 164X00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Vocational Nurse |
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346794054 | Barbara Householder | Licensed Vocational Nurse | 6824 S 37th Gln, Phoenix, AZ 85041-6172 | 2016-08-10 |
1053786459 | Gwyndolen Smith | Licensed Vocational Nurse | 711 E Missouri Ave Ste 100, Phoenix, AZ 85014-2811 | 2015-12-10 |
1760717797 | Gaston A Moore Jr. | Licensed Vocational Nurse | 1702 W Tuckey Ln, Phoenix, AZ 85015-1715 | 2009-10-08 |
1326281213 | Lori Ann Passineau | Licensed Vocational Nurse | 13223 N 20th St Apt 4, Phoenix, AZ 85022-8010 | 2009-04-08 |
1730659780 | Bethaney Daniel | Licensed Vocational Nurse | 4745 N 7th St Ste 432, Phoenix, AZ 85014-3665 | 2018-12-03 |
1336529718 | Janine E Harris | Licensed Vocational Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2015-06-01 |
1881984060 | Frances Michelle Sease | Licensed Vocational Nurse | 711 E Missouri Ave, Phoenix, AZ 85014-2841 | 2011-04-08 |
1386837912 | Samuela Clark | Licensed Vocational Nurse | 6306 N 7th St, Phoenix, AZ 85014-1549 | 2007-08-27 |
1053513580 | Klarinda Mae Hart | Licensed Vocational Nurse | 6308 W Campbell Ave, Phoenix, AZ 85033-2731 | 2007-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972137552 | Ann Marie Elms | Licensed Vocational Nurse | 3150 Starline Dr, Lk Havasu Cty, AZ 86406-5400 | 2020-02-23 |
1396194882 | Barclay John Gregson Barclay White | Licensed Vocational Nurse | 6853 E Osborn Rd, Scottsdale, AZ 85251-6211 | 2016-06-06 |
1336559350 | Sharon Stueber | Licensed Vocational Nurse | 13641 W Lisbon Ln, Surprise, AZ 85379-8369 | 2014-04-29 |
1467888446 | Celina Hernandez Jonguitud | Licensed Vocational Nurse | 3314 S 92nd Dr, Tolleson, AZ 85353-5544 | 2013-09-23 |
1699109868 | Debra Theresa Peterson I | Licensed Vocational Nurse | 38454 N Carolina Ave, San Tan Valley, AZ 85140-5835 | 2013-08-23 |
1235420993 | Jennifer Lyn Davis | Licensed Vocational Nurse | 1300 South Street, Globe, AZ 85501 | 2011-04-28 |
1538466859 | Kristin J Craig | Licensed Vocational Nurse | 19492 N Marble Canyon Ct, Surprise, AZ 85374-5124 | 2011-02-23 |
1316582752 | Jovita Wilson | Licensed Vocational Nurse | 1010 E 10th St, Tucson, AZ 85719-5813 | 2019-11-08 |
1760998132 | Melissa Hale | Licensed Vocational Nurse | 1010 E 10th St, Tucson, AZ 85719-5813 | 2017-12-21 |
1558887752 | Brenda Hull | Licensed Vocational Nurse | 15802 N Parkview Pl, Surprise, AZ 85374-7466 | 2017-08-18 |
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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.