CRYSTAL LYNN BOOTH


Address: 5510 Fortuna Pkwy, Clay, NY 13041-8929
Phone: 3153835938

CRYSTAL LYNN BOOTH (NPI# 1891324240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891324240
Entity Type Individual
Full Name CRYSTAL LYNN BOOTH
Practice Address 5510 Fortuna Pkwy
Clay
NY 13041-8929
Practice Telephone 3153835938
Mailing Telephone 3153835938
Enumeration Date 2020-04-07
Last Update Date 2020-04-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747A0650X Technician
Specialization: Attendant Care Provider
Nursing Service Related Providers

Other Providers CRYSTAL BOOTH

NPI Name Taxonomy Address Enumeration
1285786244 Crystal Lynn Booth Counselor 1976 E High St, Suite 203, Pottstown, PA 19464-3277 2007-01-18

Office Location

Street Address 5510 FORTUNA PKWY
City CLAY
State NY
Zip Code 13041-8929

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447653969 Manal Asein Zraik Specialist 8485 Newbury Place, Clay, NY 13041 2014-09-29
1447485776 Terri Jo Henrich Licensed Practical Nurse 5170 State Route 31 Apartment 2, Clay, NY 13041 2009-05-15
1255445276 Wal-mart Stores East, Lp Technician/Technologist 8770 Dell Center Dr, Clay, NY 13041 2006-08-18
1871108225 Nicki Delvecchio Dietitian, Registered 8809 Norcross Dr, Clay, NY 13041-2556 2020-09-12
1982067195 Stephanie Marie Kelly Licensed Practical Nurse 5626 Bunbury Ter, Clay, NY 13041-6910 2016-04-04
1508319369 Reeba Thankachan Nurse Practitioner 5301 Barcaldine Dr, Clay, NY 13041-6913 2016-07-28
1972907087 Sara Elizabeth Gordon Physical Therapy Assistant 8255 Trevi Ln, Clay, NY 13041-6920 2014-10-17
1053503276 Trina Veronica Mathias Licensed Practical Nurse 23 Mirage Ln, Clay, NY 13041-6924 2007-08-12
1518112507 Kristie Santore Relyea Occupational Therapist 5468 Congleton Cir, Clay, NY 13041-6932 2008-11-18
1962802132 Kimberly Jean Sprague Early Intervention Provider Agency 5425 Topsfield Ln, Clay, NY 13041-8608 2014-08-25
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Taxonomy Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649885666 Carole Jane Pelaia Technician 100 Forrestal Hts, Beacon, NY 12508-3733 2020-09-15
1194340950 Barbara Dore Russell Technician 43 Hillsboro Dr, Orchard Park, NY 14127-3433 2020-06-08
1316560105 Baw Su Technician 341 Oliver St, N Tonawanda, NY 14120-7227 2020-05-27
1255953782 Tina Marie Loucks Technician 6294 Fulford Hill Rd, Bath, NY 14810-8156 2020-05-06
1508487240 Jacqueline Marshall Technician 144 South 2nd Avenue 2c, Mount Vernon, West Chester, NY 10550 2020-05-05
1366076788 Patricia Metznik Garcia Technician 1660 S Ivy Trl, Baldwinsville, NY 13027-9051 2020-02-25
1578196549 Ernesto Murray Technician 463 East 178st Apt#3b, Bronx New York, NY 10457 2020-02-19
1588204317 Jeanie L Phillips Technician 1837 Us Highway 11 Lot 34, Marathon, NY 13803-2360 2020-01-09
1568001972 William B Love Technician 2050 Frederick Douglas Blvd #2-10, New York, NY 10026-3236 2020-01-02
1851939821 Linda L Matties Technician 1246 Flynn Rd, Rochester, NY 14612-2920 2019-12-20
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Competitor

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City CLAY
Zip Code 13041

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Dataset Information

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.

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