MRS. BRENDA GALVIN BOOTH (NPI# 1255417838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255417838 |
| Entity Type | Individual |
| Full Name | MRS. BRENDA GALVIN BOOTH |
| Credential | NP |
| Practice Address |
1248 Fort Bragg Rd Fayetteville NC 28305-4981 |
| Mailing Address |
112 Parkview Ave Fayetteville NC 28305-4908 |
| Practice Telephone | 9103230334 |
| Practice Fax Number | 8883915874 |
| Mailing Telephone | 9103230334 |
| Mailing Fax Number | 8883915874 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2012-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5000596 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2005003026 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | AMERICAN NURSES CREDENTIALING CENTER | 2005003026 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285050195 | Brenda Wilkinson Booth | Counselor | 440 Benmar Dr, Suite 2295, Houston, TX 77060-3165 | 2014-03-16 |
| 1962826826 | Brenda B Booth | Speech-Language Pathologist | 1885 Lake Ave, Elyria, OH 44035-2551 | 2014-02-13 |
| 1447597034 | Brenda Leigh Booth | Physician Assistant | 14090 Southwest Fwy Ste 130, Sugar Land, TX 77478-3683 | 2013-01-16 |
| 1912258468 | Brenda Denise Booth | Social Worker | 92 Main St, Suite 202-8, Warrenton, VA 20186-3366 | 2012-09-24 |
| Street Address |
1248 FORT BRAGG RD |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28305-4981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376547356 | David R Parker | Family Medicine | 1248 Fort Bragg Rd, Suite 200, Fayetteville, NC 28305-4981 | 2005-06-08 |
| 1174155683 | Michelle Lee Stroup | Registered Nurse | 1248 Fort Bragg Rd, Fayetteville, NC 28305-4981 | 2020-02-12 |
| 1649588997 | Robert Twaddell | Durable Medical Equipment & Medical Supplies | 1248 Fort Bragg Rd, Fayetteville, NC 28305-4981 | 2010-09-21 |
| 1609090646 | Christine Osterkamp | Dietitian, Registered | 1248 Fort Bragg Rd, Fayetteville, NC 28305-4728 | 2007-04-12 |
| 1851461693 | Vicki Blackwell Christian | Licensed Practical Nurse | 1248 Fort Bragg Rd, Fayetteville, NC 28305 | 2006-11-09 |
| 1114006533 | Robert William Twaddell | Chiropractor | 1248 Fort Bragg Rd, Fayetteville, NC 28305-4981 | 2006-11-05 |
| 1346359908 | Village Family Care Center Pa | Family Medicine | 1248 Fort Bragg Rd, Suite 200, Fayetteville, NC 28305-4981 | 2006-08-29 |
| 1679597025 | George Constantine Pantelakos | Family Medicine | 1248 Fort Bragg Rd, Fayetteville, NC 28305-4981 | 2006-07-27 |
| 1245291731 | Shobha R Gali | Family Medicine | 1248 Fort Bragg Rd, Fayetteville, NC 28305 | 2006-04-01 |
| 1891782033 | Highland Family Practice Pa | Family Medicine | 1248 Fort Bragg Rd, Fayetteville, NC 28305-4728 | 2005-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437637733 | Shannon S Wiggins | Social Worker | 2525 Raeford Rd Ste A, Fayetteville, NC 28305 | 2018-07-30 |
| 1205345790 | Sarah Elizabeth Hudson | Marriage & Family Therapist | 214 Fairway Dr, Fayetteville, NC 28305 | 2017-09-27 |
| 1336533116 | Avalon Counseling Services Pa | Counselor | 916 B Arsenal Ave, Fayetteville, NC 28305 | 2015-03-19 |
| 1568882827 | Kenneth Brown | Counselor | 901 Arsenal Avenue, Suite, Fayetteville, NC 28305 | 2014-04-24 |
| 1174879423 | Lynette Maxwell Pierce | Dentist | 2537-b Raeford Rd, Fayetteville, NC 28305 | 2012-07-24 |
| 1356640973 | Charlene Jones | Social Worker | 560 Lambert St, Fayetteville, NC 28305 | 2011-03-22 |
| 1659518173 | Christine R Campbell | Speech-Language Pathologist | 2401 Roberson Street, Fayettville, NC 28305 | 2009-01-21 |
| 1588814628 | Zakiya S Karim | Pediatrics | 1327 Robeson Street, Fayetteville, NC 28305 | 2008-09-25 |
| 1710134770 | Bright Heart Healthcare Staffing | Nursing Care | 2504 Rareford Rd, Fayetteville, NC 28305 | 2008-08-21 |
| 1730272402 | Dale A Childers | Dentist | 2409 Robeson Street, Fayetteville, NC 28305 | 2006-10-02 |
| Find all providers in zip 28305 | ||||
| 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 |
|---|---|---|---|---|
| 1326659798 | Derek Miles Anderson | Nurse Practitioner | 545 Woodward Dr, Fayetteville, GA 30215-7641 | 2020-08-11 |
| 1376167163 | Shatanya Monique Cook | Nurse Practitioner | 1233 Highway 54 W Ste 205, Fayetteville, GA 30214-4542 | 2020-06-08 |
| 1063058972 | Mardee L Baxley | Nurse Practitioner | 1991 Fordham Dr Ste 302, Fayetteville, NC 28304-3774 | 2019-11-26 |
| 1336781715 | Anna Brooks Maness Reed | Nurse Practitioner | 2053 Valleygate Dr Ste 102, Fayetteville, NC 28304-3983 | 2019-10-17 |
| 1801362355 | Dawn Stone | Nurse Practitioner | 874 Lanier Ave W Ste 220, Fayetteville, GA 30214-7659 | 2018-10-22 |
| 1902385784 | Yasmin Mathlin | Nurse Practitioner | 641 Walker St, Fayetteville, NC 28311-1990 | 2018-08-12 |
| 1144731951 | Kelli Borland | Nurse Practitioner | 101 Yorktown Dr Ste 207, Fayetteville, GA 30214-1578 | 2017-10-19 |
| 1134639867 | Jeanne Marie Lythgoe | Nurse Practitioner | 2153 Valleygate Dr Ste 101, Fayetteville, NC 28304-3667 | 2017-10-09 |
| 1174048037 | Sharon Davinroy | Nurse Practitioner | 315 Sparrow Dr, Fayetteville, NC 28306-8227 | 2017-08-11 |
| 1609302868 | Rose M Graham | Nurse Practitioner | 1202 Walter Reed Road, Capefear Valley Associate, Fayetteville, NC 28304 | 2017-05-10 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28305 |
Please comment or provide details below to improve the information on MRS. BRENDA GALVIN BOOTH.
| 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.