CAROL LYNN BOOTH (NPI# 1154629574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154629574 |
| Entity Type | Individual |
| Full Name | CAROL LYNN BOOTH |
| Credential | RD |
| Practice Address |
415 Margaret Ave Johnstown PA 15905-3865 |
| Practice Telephone | 8142885801 |
| Mailing Telephone | 8142885801 |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2011-03-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DN001771 | PA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275882375 | Carol Booth | Speech-Language Pathologist | 1025 Euclid Avenue, Paintsville, KY 41240 | 2012-09-05 |
| 1407303738 | Carol Ann Booth | Psychologist | 4515 Yoakum Blvd, Houston, TX 77006-5821 | 2016-09-02 |
| 1629331566 | Carol Blood Booth | Specialist | 1001 W Seneca St, Ithaca, NY 14850-3342 | 2012-06-15 |
| 1104835438 | Carol W. Booth | Chiropractor | 1621 W Park Row Dr, Arlington, TX 76013-3502 | 2006-08-05 |
| 1225072598 | Carol Witcraft Booth | Medical Genetics | 1875 Dempster St, Suite 310, Park Ridge, IL 60068-1186 | 2006-06-16 |
| Street Address |
415 MARGARET AVE |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15905-3865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528552445 | Kristina Marie Sloan | Registered Nurse | Womens Center At Memorial Medical Center, 1111 Franklin St, Suite 210, Johnstown, PA 15905 | 2018-06-15 |
| 1376921403 | Joel Edward Messom | Obstetrics & Gynecology | 1111 Franklin St Ste 300, Johnstown, PA 15905 | 2015-05-08 |
| 1497091797 | Jessica Pacsai | Occupational Therapist | 807 Goucher Street, Johnstown, PA 15905 | 2012-12-14 |
| 1225396351 | Lusine Mesropyan | Surgery | 1086 Franklin Street Good Samaritan Building, Johnstown, PA 15905 | 2012-04-26 |
| 1467766931 | Kimberly Buchanan | Speech-Language Pathologist | 787 Goucher Street, Johnstown, PA 15905 | 2010-07-27 |
| 1205149846 | Lighthouse Medical, LLC | Clinic/Center | 507 Tire Hill Road, Suite 100, Johnstown, PA 15905 | 2010-07-26 |
| 1932357878 | Michael Cameron Sleet | Surgery | Dlp Conemaugh Memorial Hospital, 1086 Franklin Street, Johnstown, PA 15905 | 2008-09-04 |
| 1255528543 | Assisted Living Concepts Inc | Assisted Living Facility | 500 Cheney Oaks Drive, Johnstown, PA 15905 | 2007-10-01 |
| 1578766648 | Tamera Waggle | Nurse Anesthetist, Certified Registered | 1186 Franklin St., Johnstown, PA 15905 | 2007-06-07 |
| 1821206178 | Blue and Green Medical PC | Internal Medicine | 1743 Goucher Street, Johnstown, PA 15905 | 2007-05-18 |
| Find all providers in zip 15905 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174122 | Erika Marie Johnson | Dietitian, Registered | 1111 Franklin St Ste 180, Johnstown, PA 15905-4341 | 2020-11-02 |
| 1043603806 | Alyssa Marie Paros | Dietitian, Registered | 127 Luna Ln, Johnstown, PA 15904-3070 | 2015-03-17 |
| 1346623428 | Platinum Nutrition Counseling | Dietitian, Registered | 127 Luna Ln, Johnstown, PA 15904-3070 | 2015-07-07 |
| 1679829154 | Melissa Fabina-arcurio | Dietitian, Registered | 401 Broad St, Johnstown, PA 15906-2716 | 2012-08-02 |
| 1124398763 | Jennifer Lynn Kot | Dietitian, Registered | 1086 Franklin St, Johnstown, PA 15905-4305 | 2012-01-12 |
| 1871863498 | Connie J Rauch | Dietitian, Registered | 1086 Franklin St, Johnstown, PA 15905-4305 | 2012-01-12 |
| 1699045245 | Tonya Spada-dixon | Dietitian, Registered | 1086 Franklin St, Johnstown, PA 15905-4305 | 2012-01-12 |
| 1063782647 | Shelley Kay Thomas | Dietitian, Registered | 1086 Franklin St, Johnstown, PA 15905-4305 | 2012-01-12 |
| 1972873552 | Nancy S Lennon | Dietitian, Registered | 1086 Franklin St, Johnstown, PA 15905-4305 | 2012-01-12 |
| 1760752307 | Megan U Stiffler | Dietitian, Registered | 1086 Franklin St, Johnstown, PA 15905-4305 | 2012-01-12 |
| Find all providers in JOHNSTOWN | ||||
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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.