DIANE M. BOOTH (NPI# 1922306398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922306398 |
| Entity Type | Individual |
| Full Name | DIANE M. BOOTH |
| Credential | APRN |
| Practice Address |
1600 Lakeland Hills Blvd. Lakeland FL 33805-3019 |
| Mailing Address |
1600 Lakeland Hills Blvd Lakeland FL 33805-3065 |
| Practice Telephone | 8636807000 |
| Practice Fax Number | 8662648519 |
| Mailing Telephone | 8636807000 |
| Mailing Fax Number | 8632648519 |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2020-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN695902 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407065568 | Diane G Booth | Social Worker | 160 West End Avenue, Suite 1n, New York, NY 10023 | 2007-05-22 |
| 1063721975 | Diane Marie Booth | Registered Nurse | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2010-09-28 |
| Street Address |
1600 LAKELAND HILLS BLVD. |
| City | LAKELAND |
| State | FL |
| Zip Code | 33805-3019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073514386 | Steven Gerard Achinger | Internal Medicine | 1600 Lakeland Hills Blvd., Lakeland, FL 33805-3019 | 2005-08-09 |
| 1003479890 | Nathan Yount | Nurse Anesthetist, Certified Registered | 1600 Lakeland Hills Blvd., Lakeland, FL 33805-3380 | 2019-04-17 |
| 1285108381 | Melissa Polisar | Registered Nurse | 1600 Lakeland Hills Blvd., Lakeland, FL 33805-3019 | 2019-01-11 |
| 1053731885 | Vindya Gunawardena | Internal Medicine | 1600 Lakeland Hills Blvd., Lakeland, FL 33805-3019 | 2014-04-19 |
| 1629364849 | Christopher Isaiah Jones | Internal Medicine | 1600 Lakeland Hills Blvd., Lakeland, FL 33805-3019 | 2011-06-27 |
| 1124342795 | Melissa Marie Kemple | Nurse Anesthetist, Certified Registered | 1600 Lakeland Hills Blvd., Lakeland, FL 33805-3019 | 2010-03-25 |
| 1861723587 | Jena Marie Hill | Nurse Anesthetist, Certified Registered | 1600 Lakeland Hills Blvd., Lakeland, FL 33805-3019 | 2010-01-20 |
| 1134456791 | Jayson L. Bilby | Nurse Anesthetist, Certified Registered | 1600 Lakeland Hills Blvd., Lakeland, FL 33805-3019 | 2009-11-03 |
| 1215164660 | Matthew Edward Zanke | Nurse Anesthetist, Certified Registered | 1600 Lakeland Hills Blvd., Lakeland, FL 33805-3019 | 2009-06-12 |
| 1255578266 | Dean William Jani | Nurse Anesthetist, Certified Registered | 1600 Lakeland Hills Blvd., Lakeland, FL 33805-3019 | 2009-01-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1912546631 | Francis Esperanzate | Physical Therapist | 5070 Menlo Parke Way, Lakeland, FL 33805 | 2019-12-27 |
| 1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
| 1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
| 1992251706 | Damaris Salmeron | Physical Therapy Assistant | 3127 Us Hwy 98 N, Lakeland, FL 33805 | 2016-08-31 |
| 1831589076 | Sarah Mcneill | Pharmacist | 3124 Lakeland Hills Blvd, Lakeland, FL 33805 | 2015-01-26 |
| 1750706479 | Alison M Busby | Counselor | Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 | 2014-03-04 |
| 1174872907 | William Vargas, M.d. P. A. | Anesthesiology | 202 Parkview Place, Lakeland, FL 33805 | 2012-09-07 |
| 1184998056 | Eduardo Francisco Lopez Garcia | Internal Medicine | 135 E First Street, Lakeland, FL 33805 | 2012-02-24 |
| 1255625513 | Navdeep Singh Jassal | Physical Medicine & Rehabilitation | 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 | 2011-06-04 |
| Find all providers in zip 33805 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629686845 | Robert Salzman | Nurse Practitioner | 1328 Jaffa St, Lakeland, FL 33801-5706 | 2020-07-14 |
| 1578180493 | Kristen Kay Crumpton | Nurse Practitioner | 615 Midflorida Dr Ste 1, Lakeland, FL 33813-4921 | 2020-06-26 |
| 1053958694 | Cathy Lorraine Molina | Nurse Practitioner | 6063 Sunset Vista Dr, Lakeland, FL 33812-4441 | 2019-12-02 |
| 1003452418 | Cheza Marie Wilkinson | Nurse Practitioner | 2849 Jennifer Dr, Lakeland, FL 33810-5107 | 2019-11-20 |
| 1427600030 | Genesis Vieyra Lopez | Nurse Practitioner | 631 Mid Florida Drive, Lakeland, FL 33813 | 2019-07-13 |
| 1154988210 | Doreen Opal Lue | Nurse Practitioner | 6855 Ashbury Dr, Lakeland, FL 33809-7818 | 2019-05-23 |
| 1962068155 | Lindsey Silas Escobar | Nurse Practitioner | 1490 Town Center Dr, Lakeland, FL 33803-7965 | 2019-05-14 |
| 1134695547 | Misti Dawn Thomas | Nurse Practitioner | 1737 Sherwood Lakes Blvd, Lakeland, FL 33809-6809 | 2018-10-23 |
| 1891260725 | Benito Angelo Rodriguez | Nurse Practitioner | 2417 Us Highway 98 N # 512, Lakeland, FL 33805-2410 | 2018-10-08 |
| 1255833513 | Justin Ross Hooper | Nurse Practitioner | 1285 Vista Hills Dr, Lakeland, FL 33813-5642 | 2018-03-02 |
| Find all providers in LAKELAND | ||||
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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.