CIJI LACOLE BOOTHE (NPI# 1952961039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952961039 |
| Entity Type | Individual |
| Full Name | CIJI LACOLE BOOTHE |
| Credential | NP-C |
| Practice Address |
870 County Road 412 Opp AL 36467-8011 |
| Practice Telephone | 3345041894 |
| Mailing Telephone | 3345041894 |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 1-121182 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-121182 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 N Edwards St, Enterprise, AL 363302584 | 3343470584 |
| Street Address |
870 COUNTY ROAD 412 |
| City | OPP |
| State | AL |
| Zip Code | 36467-8011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699146548 | Still Waters Msssage | Massage Therapist | 1800 W Cummings Ave, Opp, AL 36467 | 2015-10-16 |
| 1609245034 | Kellie Victoria King | Massage Therapist | 1800 West Cummings Avenue, Opp, AL 36467 | 2015-09-16 |
| 1912327099 | George Lawrence Arnett | Hearing Instrument Specialist | 2123 Highway 84 West, Opp, AL 36467 | 2014-04-16 |
| 1811313042 | Quality Hearing Center LLC | Hearing Instrument Specialist | 2123 Hwy 84 W., Opp, AL 36467 | 2014-03-12 |
| 1346372505 | Jeffrey Harold Worley | Dentist | 403 N Brantley St, Opp, AL 36467 | 2007-03-12 |
| 1649210600 | Opp Health and Rehabilitation, LLC | Skilled Nursing Facility | 115 Paulk Ave, Opp, AL 36467 | 2006-06-07 |
| 1770616989 | Joshua Driver PC | Optometrist | 604 N Main St Ste A, Opp, AL 36467-1600 | 2007-03-14 |
| 1932653722 | Andrew Scott Carter | Optometrist | 604 N Main St, Opp, AL 36467-1600 | 2016-08-09 |
| 1972679033 | Joshua Jonathan Driver | Optometrist | 604 N Main St, Suite A, Opp, AL 36467-1600 | 2006-11-28 |
| 1649355280 | Charles M Burgess Jr. | Dentist | 104 E Gunter Ave, Opp, AL 36467-1604 | 2006-10-25 |
| Find all providers in zip 36467 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174042501 | Samantha Jean Mccollough | Nurse Practitioner | 702 N Main St, Opp, AL 36467-1626 | 2017-09-18 |
| 1316302748 | Kimberly Hornsby | Nurse Practitioner | 604 Brantley St, Opp, AL 36467-1742 | 2015-12-30 |
| 1326412032 | Patricia Leigh Rountree | Nurse Practitioner | 802 N Main St, Opp, AL 36467-1632 | 2015-11-18 |
| 1376836106 | Tonya L Pelham | Nurse Practitioner | 511 Brantley St, Opp, AL 36467-1702 | 2011-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174320 | Sweet Home Telehealth LLC | Nurse Practitioner | 3 Sudworth Dr Sw, Huntsville, AL 35824-4099 | 2020-11-07 |
| 1851991954 | Terry Brock | Nurse Practitioner | 4232 Cahaba Dr, Vestavia, AL 35243-1600 | 2020-10-28 |
| 1568062784 | Stephanie Terese Godwin | Nurse Practitioner | 391 Ashcraft Ln, Atmore, AL 36502-4225 | 2020-10-27 |
| 1588264725 | Sabine Susanne Lamont | Nurse Practitioner | 41 Eminence Way, Suite A, Pell City, AL 35128-2338 | 2020-10-27 |
| 1386243574 | Carl Andrew Ballard | Nurse Practitioner | 2635 Johnson Bottom Rd, Detroit, AL 35552-2731 | 2020-10-20 |
| 1023616661 | Yaira Maldonado | Nurse Practitioner | 191 Lee Road 207, Phenix City, AL 36870-8240 | 2020-10-15 |
| 1295333409 | Olivia Palmer | Nurse Practitioner | 770 W Market St, Athens, AL 35611 | 2020-10-12 |
| 1720685050 | Sean Jackson | Nurse Practitioner | 217 Tradewinds Cir, Alabaster, AL 35007-3019 | 2020-10-09 |
| 1104423235 | Rita Wiggins Branch | Nurse Practitioner | 12350 Flint Dr, Moundville, AL 35474-6246 | 2020-10-01 |
| 1538776778 | Mary Katherine Brandler | Nurse Practitioner | 1171 King Arthur Ct, Alabaster, AL 35007-3000 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
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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.