MR. RYAN H BOOTHE (NPI# 1609419142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609419142 |
| Entity Type | Individual |
| Full Name | MR. RYAN H BOOTHE |
| Credential | DNP |
| Practice Address |
331 Sijan Ave Bldg 2032 Whiteman Afb MO 65305 |
| Mailing Address |
331 Sijan Ave, Bldg 2032 Whiteman Afb MO 65305 |
| Practice Telephone | 6606874341 |
| Mailing Telephone | 6606874341 |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2019-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
226867 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
331 SIJAN AVE BLDG 2032 |
| City | WHITEMAN AFB |
| State | MO |
| Zip Code | 65305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366928350 | Jeffrey D Bundrick | Physical Therapist | Whiteman Air Force Base, Knob Noster, MO 65305 | 2018-07-13 |
| 1841730280 | Joseph Sharp | Student in an Organized Health Care Education/Training Program | 162 Sijen Ave, Knob Noster, MO 65305 | 2017-03-05 |
| 1295116572 | Caleb James | Family Medicine | 331 Sijan, Whiteman Afb, MO 65305 | 2015-06-12 |
| 1679627814 | Linda May Jones | Social Worker | Whiteman Air Force Base 509 Medical Group, 331 Sijan Ave, Whiteman Afb, MO 65305 | 2007-01-23 |
| 1265454367 | Mary Anne Kiel | Pediatrics | 509th Medical Group, 331 Sijan Avenue, Whiteman Afb, MO 65305 | 2006-07-25 |
| 1760471635 | Tammy Colleen Karamarinov | Pharmacist | 331 Sijan Ave, Whiteman Afb, MO 65305 | 2005-10-13 |
| 1093358293 | Margaret Stepaniak | Pharmacist | 331 Sijan Ave, Whiteman Afb, MO 65305 | 2019-10-21 |
| 1407395213 | Matthew Robert Land | Physician Assistant | 331 Sijan Ave, Whiteman Afb, MO 65305 | 2017-02-14 |
| 1487020269 | Kelsey Geiger | Dentist | 331 Sijan Ave, Whiteman Afb, MO 65305 | 2015-08-17 |
| 1659750206 | Erin Katie Dunn | Social Worker | 331 Sijan Avenue, Knob Noster, MO 65305 | 2015-05-28 |
| Find all providers in zip 65305 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1376152546 | Chijioke Francisca Mbah | Nurse Practitioner | 900 Sw 33rd St, Lees Summit, MO 64082-4191 | 2020-07-23 |
| 1740807825 | Aldijana Sacic | Nurse Practitioner | 8525 Glenwood Dr, Saint Louis, MO 63126-1849 | 2020-07-06 |
| 1639796766 | Courtney Paige Schult | Nurse Practitioner | 431 Stonewater Dr, Pevely, MO 63070-3210 | 2020-07-06 |
| 1912524059 | Farah Lynn Shaddix | Nurse Practitioner | 1103 Warm Winds Dr, O Fallon, MO 63366-6327 | 2020-07-05 |
| 1669097119 | Melanie Nicole Beckham | Nurse Practitioner | 1100 South Springfield Ave, Suite B, Bolivar, MO 65613 | 2020-06-10 |
| 1215551973 | Nicole Lynn Parker | Nurse Practitioner | 1000 Jackson St Apt 1, Saint Charles, MO 63301-2676 | 2020-05-28 |
| 1386273217 | Andrea Morrow Wright | Nurse Practitioner | 8833 N Congress Ave Apt 813, Kansas City, MO 64153-1991 | 2020-04-03 |
| 1700413580 | Solange-belle Boma | Nurse Practitioner | 6326 Ne 44th St, Kansas City, MO 64117-1687 | 2020-03-24 |
| 1063044626 | Beatriz Fortaleza | Nurse Practitioner | 2305 South 65 Highway, Bldg A., Marshall, MO 65340-3702 | 2020-02-11 |
| Find all providers with the same taxonomy | ||||
| City | WHITEMAN AFB |
| Zip Code | 65305 |
Please comment or provide details below to improve the information on MR. RYAN H BOOTHE.
| 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.