MRS. STACY LYNN BOOTHE (NPI# 1114964913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114964913 |
| Entity Type | Individual |
| Full Name | MRS. STACY LYNN BOOTHE |
| Credential | CNS |
| Practice Address |
3500 Healthplex Pkwy Suite 200 Norman OK 73072-9738 |
| Mailing Address |
Po Box 1330 Norman OK 73070-1330 |
| Practice Telephone | 4055152222 |
| Practice Fax Number | 4055152251 |
| Mailing Telephone | 4055152222 |
| Mailing Fax Number | 4053076660 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2014-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | R0072509 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200091170 | 05 | |
| OK | 200091170A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255775961 | Stacy Boothe | Social Worker | 53 Clarkwood St, Mattapan, MA 02126-1807 | 2013-04-24 |
| Street Address |
3500 HEALTHPLEX PKWY SUITE 200 |
| City | NORMAN |
| State | OK |
| Zip Code | 73072-9738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730180324 | Jeffrey A Crook | Internal Medicine | 3500 Healthplex Pkwy, Suite 200, Norman, OK 73072-9738 | 2005-08-03 |
| 1962887653 | Kacy Lynn Aderhold | Nurse Practitioner | 3500 Healthplex Pkwy, Ste 201, Norman, OK 73072-9738 | 2015-07-23 |
| 1891182333 | Angela Genovese | Nurse Practitioner | 3500 Healthplex Pkwy, Suite 201, Norman, OK 73072-9738 | 2015-04-22 |
| 1396146932 | Michael Kalcich Emergency Medical Services Corporation | Emergency Medicine | 3500 Healthplex Pkwy, #102, Norman, OK 73072-9738 | 2014-09-15 |
| 1861801565 | Jessina Graham | Registered Nurse | 3500 Healthplex Pkwy, Suite 201, Norman, OK 73072-9738 | 2014-08-06 |
| 1861826307 | Helping Healing Happen Pllc | Emergency Medicine | 3500 Healthplex Pkwy, Suite 102, Norman, OK 73072-9738 | 2013-09-01 |
| 1942648324 | Angela Dawn Vines | Clinical Nurse Specialist | 3500 Healthplex Pkwy, Suite 200, Norman, OK 73072-9738 | 2013-06-07 |
| 1447543764 | Matthew D Mcgill | Nurse Practitioner | 3500 Healthplex Pkwy, Suite 200, Norman, OK 73072-9738 | 2011-05-19 |
| 1578884268 | Norman Heart and Vascular Associates LLC | Internal Medicine | 3500 Healthplex Pkwy, Suite 200, Norman, OK 73072-9738 | 2010-06-16 |
| 1407093313 | Kristen Nicole Sweet | Nurse Practitioner | 3500 Healthplex Pkwy, Suite 200, Norman, OK 73072-9738 | 2009-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326684630 | Summer Crawford | Nurse Practitioner | 2080 Ok-9, Norman, OK 73072 | 2019-11-21 |
| 1962054882 | Jayme Provine | Registered Nurse | 3300 Healthplex Parkway, Lactation Dept, Norman, OK 73072 | 2019-07-11 |
| 1811556186 | Elizabeth Moore | Behavioral Analyst | 2240 36th Ave Nw, Suite 100, Norman, OK 73072 | 2019-06-11 |
| 1861950735 | Michelle Kathleen Spehr | Nurse Practitioner | 3231 Healthplex Dr., Norman, OK 73072 | 2019-03-08 |
| 1801384953 | Serena Browning | Registered Nurse | 3913 Ripple Ave, Norman, OK 73072 | 2018-04-24 |
| 1508363771 | Dental Depot of 36th & Tecumseh, Pllc | Dentist | 3401 W. Tecumseh Rd., Norman, OK 73072 | 2018-04-12 |
| 1396274809 | Balance Hormone Center | Physician Assistant | 3351 W. Rock Creek Rd Ste 100, Norman, OK 73072 | 2017-06-08 |
| 1174060792 | Rebekah Karnes | Nurse Practitioner | 2120 Mckown Dr Ste B, Norman, OK 73072 | 2017-01-20 |
| 1881139319 | Heritage Dental Group LLC | Dentist | 3600 W Tecumseh Rd, Norman, OK 73072 | 2016-12-19 |
| 1043699150 | Alan Jay Washington | Social Worker | 3200 Marshall Ave. Outpatient Services-norman, Suite 220 Strong Family Development, Norman, OK 73072 | 2015-05-21 |
| Find all providers in zip 73072 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083094908 | Gina Marie Grady | Clinical Nurse Specialist | 3650 W Rock Creek Rd, Norman, OK 73072-2202 | 2015-06-05 |
| 1093953515 | Carleeta Yvonne Nelson | Clinical Nurse Specialist | 500 E Robinson St, Suite 2600, Norman, OK 73071-6697 | 2009-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245842848 | Integrated Care Professionals of Oklahoma, LLC | Clinical Nurse Specialist | 1831 E 71st St Ste 323, Tulsa, OK 74136-3922 | 2020-08-17 |
| 1033593207 | Quanisha Roberson | Clinical Nurse Specialist | 226 Se De Bell Avenue, Building A, Suite 101, Bartlesville, OK 74006 | 2015-07-16 |
| 1962800466 | David Sparlin | Clinical Nurse Specialist | 2328 Emily Lane, Purcell, OK 73080-0308 | 2014-12-15 |
| 1518390061 | Margaret Elaine Haxton | Clinical Nurse Specialist | 700 Ne 10th St, Oklahoma City, OK 73104-5404 | 2013-08-19 |
| 1861634172 | Stephanie T Bates | Clinical Nurse Specialist | 115 S Elliott St, Pryor, OK 74361-5407 | 2009-04-01 |
| 1356589311 | Mary S Gilliland | Clinical Nurse Specialist | 1301 W 6th Ave Ste 207, Stillwater, OK 74074-4381 | 2009-01-29 |
| 1225245194 | Amy Danielle Hulsey | Clinical Nurse Specialist | 6800 Nw 39th Expressway, Bethany, OK 73008 | 2007-05-17 |
| 1811968977 | Veronica Lynn Wells | Clinical Nurse Specialist | 4502 E 41 St, Ste 2g12, Tulsa, OK 74135 | 2006-01-27 |
| 1649267436 | Tracey L Walker | Clinical Nurse Specialist | 2201 W Iowa Ave Ste 4, Chickasha, OK 73018-2732 | 2005-10-05 |
| 1497364699 | Stacie Jenelle Hanes | Clinical Nurse Specialist | 4050 W Memorial Rd Fl 3, Oklahoma City, OK 73120-8358 | 2020-07-24 |
| Find all providers with the same taxonomy | ||||
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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.