MICHELLE COLLINS BOOTHE (NPI# 1457660102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457660102 |
| Entity Type | Individual |
| Full Name | MICHELLE COLLINS BOOTHE |
| Other Name | MICHELLE L COLLINS |
| Credential | PA-C |
| Practice Address |
803 Meyers Baker Rd Suite 200 London KY 40741-3039 |
| Practice Telephone | 6068784300 |
| Practice Fax Number | 6068784308 |
| Mailing Telephone | 6068784300 |
| Mailing Fax Number | 6068784308 |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2014-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA1581 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100025690 | 05 |
| Street Address |
803 MEYERS BAKER RD SUITE 200 |
| City | LONDON |
| State | KY |
| Zip Code | 40741-3039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467437293 | Melissa Llenay Zook | Family Medicine | 803 Meyers Baker Rd, Suite 200, London, KY 40741-3039 | 2005-12-14 |
| 1184234775 | Christopher Lee White | Physician Assistant | 803 Meyers Baker Rd, London, KY 40741-3039 | 2020-08-07 |
| 1194277129 | Kacey Bolton | Nurse Practitioner | 803 Meyers Baker Rd, Suite 200, London, KY 40741-3039 | 2016-10-25 |
| 1235596479 | Bethany D Ledford | Nurse Practitioner | 803 Meyers Baker Rd, Suite 200, London, KY 40741-3039 | 2016-01-19 |
| 1760876122 | Shana Sandifer | Nurse Practitioner | 803 Meyers Baker Rd, Suite 200, London, KY 40741-3039 | 2015-03-24 |
| 1285993204 | Laura B. Walters | Physician Assistant | 803 Meyers Baker Rd, Suite 200, London, KY 40741-3039 | 2012-05-11 |
| 1306137336 | Bluegrass Primary Care & Pediatrics, Pllc | Family Medicine | 803 Meyers Baker Rd, Suite 150, London, KY 40741-3039 | 2011-04-25 |
| 1922241512 | Aishawarya Sarkar | Obstetrics & Gynecology | 803 Meyers Baker Rd, Suite 200, London, KY 40741-3039 | 2009-04-12 |
| 1164676144 | Dorothy Suzanne Mcgehee | Obstetrics & Gynecology | 803 Meyers Baker Rd, Suite 200, London, KY 40741-3039 | 2008-11-04 |
| 1285897801 | Krista Devoe Preston | Obstetrics & Gynecology | 803 Meyers Baker Rd, Suite 200, London, KY 40741-3039 | 2008-07-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841244 | Emily Anne Simmons | Pharmacist | 1851 West Hwy 192, London, KY 40741 | 2020-11-06 |
| 1871104364 | Jarrod Lee Napier | Optometrist | 103 Chera Lyn Ln, London, KY 40741 | 2020-08-10 |
| 1295378792 | Rebekah Virginia Elaine Cloud | Nurse Practitioner | 1649 Ky- 192 W, London, KY 40741 | 2019-10-28 |
| 1215416581 | Mary Jean Nolan | Nurse Practitioner | 1649 W. Hwy 192, London, KY 40741 | 2018-08-08 |
| 1558849620 | Pinnacle Treatment Centers Ky-1, LLC | Substance Abuse Rehabilitation Facility | 312 Carrera Drive, London, KY 40741 | 2018-08-01 |
| 1710463435 | Pinnacle Treatment Centers Ky-i, LLC | Substance Abuse Rehabilitation Facility | 300 Carrera Drive, London, KY 40741 | 2018-07-16 |
| 1720591076 | Hillary Clark | Nurse Practitioner | 192 London Shopping Ctr Ste 2, London, KY 40741 | 2017-11-08 |
| 1760901979 | Ariel Siler | Counselor | 454 N. Mcwhorter St., Suite 1, London, KY 40741 | 2017-09-19 |
| 1598287161 | Young Smiles,llc | Clinic/Center | 324 Holly Lane, London, KY 40741 | 2017-07-14 |
| 1952727505 | Renew Recovery, LLC | Substance Abuse Rehabilitation Facility | 2645 N Laurel Rd Ste B, London, KY 40741 | 2014-03-06 |
| Find all providers in zip 40741 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225635691 | Mark Douglas Crawford II | Physician Assistant | 1288 Wyan Rd, London, KY 40744-9052 | 2020-10-07 |
| 1114524188 | Dustin Scott Ammerman | Physician Assistant | 682 Reed Rd, London, KY 40741-8662 | 2020-10-02 |
| 1477054427 | Brittani Lashae Meier | Physician Assistant | 1134 Tom Cat Trl, London, KY 40741-6514 | 2018-02-26 |
| 1831107713 | Leanne Mchenry Mays | Physician Assistant | 121 Clay Lucas Dr, London, KY 40744-8510 | 2006-08-04 |
| 1932195963 | Michael Glass Thompson | Physician Assistant | 189 Highway 192 W, London, KY 40741-2428 | 2005-09-26 |
| 1487648200 | The Medical Specialists of Ky, Psc | Physician Assistant | 1210 W 5th St, London, KY 40741-2112 | 2005-09-08 |
| 1184234775 | Christopher Lee White | Physician Assistant | 803 Meyers Baker Rd, London, KY 40741-3039 | 2020-08-07 |
| 1265960504 | Lyndsay Collette | Physician Assistant | 803 Meyers Baker Rd Ste 200, London, KY 40741-3040 | 2017-05-31 |
| 1164973798 | Randall Mills | Physician Assistant | 1210 W 5th St, London, KY 40741-2112 | 2016-10-19 |
| 1730559048 | Whitney L Minton Adams | Physician Assistant | 803 Meyers Baker Rd Ste 200, London, KY 40741-3040 | 2015-09-29 |
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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.