MRS. KIMBERLY RANDALL BOOKER (NPI# 1013359934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013359934 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY RANDALL BOOKER |
| Credential | CNM, WHNP-BC |
| Practice Address |
520 Maple Ave Suite C Reidsville NC 27320-4652 |
| Mailing Address |
3871 Vance Street Ext Reidsville NC 27320-8873 |
| Practice Telephone | 3363426063 |
| Practice Fax Number | 3363426066 |
| Mailing Telephone | 3366130904 |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2015-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
BOO104379455 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367A00000X | Advanced Practice Midwife | 522 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1013359934 | 05 | |
| BCBS | 1799G | 01 | |
| MEDICARE INDIVIDUAL PTAN LINKED TO FACULTY PRACTICE GROUP | Q44206A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760919526 | Kimberly Booker | Licensed Practical Nurse | 13 Alma Ave, Selden, NY 11784-1925 | 2017-05-11 |
| 1215395173 | Kimberly Booker | Counselor | 9371 Bimini Dr, Baton Rouge, LA 70810 | 2016-02-08 |
| 1942363213 | Kimberly Dawn Booker | Case Manager/Care Coordinator | 4580 Mallard Ct, Martinez, GA 30907-8873 | 2006-12-18 |
| 1568542587 | Kimberly W Booker | Psychologist | 1101 N Little School Rd, Suite B, Arlington, TX 76017-1900 | 2006-10-16 |
| 1326698580 | Kimberly Ann Booker | Technician | 3175 S Eastern Ave, Las Vegas, NV 89169-3308 | 2019-09-18 |
| 1447819438 | Kimberly Booker | Health Educator | 460 Stagecoach Rd, Charlottesville, VA 22902-6441 | 2019-06-12 |
| 1538405568 | Kimberly M Booker | Counselor | 5410 N 44th St, Tacoma, WA 98407-3715 | 2012-12-19 |
| 1942248372 | Kimberly Sue Booker | Physical Therapist | 517 N Main St, Anna, IL 62906-1668 | 2006-06-04 |
| Street Address |
520 MAPLE AVE SUITE C |
| City | REIDSVILLE |
| State | NC |
| Zip Code | 27320-4652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629073176 | William Stephen Luking | Family Medicine | 520 Maple Ave, Ste B, Reidsville, NC 27320-4600 | 2005-06-20 |
| 1053603001 | Moses Cone Affiliated Physicians, Inc | Family Medicine | 520 Maple Ave, Suite B, Reidsville, NC 27320-4652 | 2011-05-10 |
| 1356506992 | Moses Cone Affiliated Physicians, Inc | Obstetrics & Gynecology | 520 Maple Ave, Suite C, Reidsville, NC 27320-4652 | 2008-07-23 |
| 1073602348 | Jennifer Apple Griffin | Nurse Practitioner | 520 Maple Ave, Suite C, Reidsville, NC 27320-4652 | 2006-10-12 |
| 1821187998 | Frances Hough Cresenzo-dishmon | Advanced Practice Midwife | 520 Maple Ave, Suite C, Reidsville, NC 27320-4652 | 2006-10-12 |
| 1881783975 | Luther Hayewood Eure Jr. | Obstetrics & Gynecology | 520 Maple Ave, Suite C, Reidsville, NC 27320-4652 | 2006-10-12 |
| 1528157930 | John Vaughn Ferguson | Obstetrics & Gynecology | 520 Maple Ave, Suite C, Reidsville, NC 27320-4652 | 2006-10-12 |
| 1730276890 | Family Tree Ob Gyn, Pa | Specialist | 520 Maple Ave, Suite C, Reidsville, NC 27320-4652 | 2006-10-09 |
| 1316935018 | Reidsville Family Medicine, Pa | Family Medicine | 520 Maple Ave, Suite B, Reidsville, NC 27320-4652 | 2005-10-07 |
| 1912903188 | Scott Alfred Luking | Family Medicine | 520 Maple Ave, Ste B, Reidsville, NC 27320-4600 | 2005-06-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417576620 | Professional Vision Care, Od, Pllc | Optometrist | 1624 Nc #14 Highway, Reidsville, NC 27320 | 2020-04-09 |
| 1538796966 | Dabney Varner Porter | Speech-Language Pathologist | 613 S. Main St., Reidsville, NC 27320 | 2020-03-25 |
| 1053868463 | Marlon Nolen | Social Worker | 425 Nc-65, Reidsville, NC 27320 | 2016-09-01 |
| 1659741346 | Gepernard Tania Polidor | Social Worker | 405 Nc-65, Reidsville, NC 27320 | 2015-10-07 |
| 1548687064 | Angel Allen | Skilled Nursing Facility | 255 Penn Lake Dr, Reidsville, NC 27320 | 2014-03-21 |
| 1801234844 | Remmsco | Substance Abuse Rehabilitation Facility | 106 N. Franklin St, Reidsville, NC 27320 | 2013-06-12 |
| 1861733669 | The Free Clinic of Rockingham County, Inc | Clinic/Center | 315 S. Main Street, Reidsville, NC 27320 | 2013-03-05 |
| 1396094173 | Helen Elizabeth Brooks | Nurse Practitioner | 502 South Scales Street, Reidsville, NC 27320 | 2012-09-07 |
| 1952650327 | Ashlee Place | Assisted Living Facility | 538 Warriner Street, Reidsville, NC 27320 | 2012-08-31 |
| 1558638536 | Tracey Caroline Cook | Pharmacist | 1623 Way, Reidsville, NC 27320 | 2011-11-19 |
| Find all providers in zip 27320 | ||||
| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821187998 | Frances Hough Cresenzo-dishmon | Advanced Practice Midwife | 520 Maple Ave, Suite C, Reidsville, NC 27320-4652 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359733 | Rachel Ellen Picher | Advanced Practice Midwife | 390 S French Broad Ave Ste 2, Asheville, NC 28801-4364 | 2020-09-02 |
| 1447725379 | Samantha Cochrane Weinhold | Advanced Practice Midwife | 4011 W Cornwallis Rd, Durham, NC 27705-6302 | 2018-10-08 |
| 1285119818 | Sankofa Birth and Women's Care Pllc | Advanced Practice Midwife | 3803 Junction Blvd, Raleigh, NC 27603-5264 | 2018-09-29 |
| 1720517311 | Laura Jean Meyers | Advanced Practice Midwife | 930 Martin Luther King Jr Blvd Ste 202, Chapel Hill, NC 27514-2656 | 2017-06-07 |
| 1063950996 | Tina Moore Braimah | Advanced Practice Midwife | 5504 Ventura Dr, Durham, NC 27712-2040 | 2017-02-12 |
| 1811448574 | Highland Ob/gyn Clinic, Pa | Advanced Practice Midwife | 2301 Robeson St Ste 201, Fayetteville, NC 28305-5641 | 2016-10-18 |
| 1396103958 | Kristen Smith | Advanced Practice Midwife | 6488 Weddington Monroe Rd, Wesley Chapel, NC 28104 | 2016-02-10 |
| 1326406331 | Ellen Lee | Advanced Practice Midwife | 306 Stoneridge Blvd, Asheville, NC 28804-8313 | 2016-02-04 |
| 1316320344 | Shannon Stinson Keller | Advanced Practice Midwife | 4011 Old Clinic Building, Cb #7570, Chapel Hill, NC 27599-7570 | 2015-07-08 |
| 1063818979 | Novant Medical Group Inc | Advanced Practice Midwife | 106 Langtree Village Drive, Suite 200, Mooresville, NC 28117-7571 | 2014-11-05 |
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| City | REIDSVILLE |
| Zip Code | 27320 |
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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.