SHANI GORIO BOOTH (NPI# 1407087034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407087034 |
| Entity Type | Individual |
| Full Name | SHANI GORIO BOOTH |
| Credential | ANP |
| Practice Address |
42388 Pelican Professional Park Hammond LA 70403-2412 |
| Mailing Address |
Po Box 1799 Hammond LA 70404-1799 |
| Practice Telephone | 9855426251 |
| Practice Fax Number | 9853452386 |
| Mailing Telephone | 9855426251 |
| Mailing Fax Number | 9853452386 |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN097276 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | MEDICARE RAILROAD | P00830859 | 01 |
| LA | 1803634 | 05 | |
| LA | MEDICARE RAILROAD GROUP | D06873 | 01 |
| Street Address |
42388 PELICAN PROFESSIONAL PARK |
| City | HAMMOND |
| State | LA |
| Zip Code | 70403-2412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477551612 | Nicholas C Stevens | Internal Medicine | 42388 Pelican Professional Park, Hammond, LA 70403 | 2005-07-12 |
| 1790344380 | Lana G Dileo | Nurse Practitioner | 42388 Pelican Professional Park, Hammond, LA 70403-2412 | 2019-06-07 |
| 1922538222 | Joan Carol Peperone | Nurse Practitioner | 42388 Pelican Professional Park, Hammond, LA 70403-2412 | 2017-06-19 |
| 1487002150 | Louisiana Hyperbarics | Preventive Medicine | 42388 Pelican Professional Park, Hammond, LA 70403-2412 | 2016-06-02 |
| 1679933287 | Megan Mcgoey | Nurse Practitioner | 42388 Pelican Professional Park, Hammond, LA 70403-2412 | 2016-02-25 |
| 1346506821 | Scott Picou | Family Medicine | 42388 Pelican Professional Park, Hammond, LA 70403-2412 | 2012-04-09 |
| 1487823506 | Leonard Christopher Treanor | Emergency Medicine | 42388 Pelican Professional Park, Hammond, LA 70403-2412 | 2008-02-22 |
| 1194920710 | Sousan Lehimagar Zadeh | Internal Medicine | 42388 Pelican Professional Park, Hammond, LA 70403 | 2007-06-15 |
| 1497965198 | Rafael O Robledo | Specialist | 42388 Pelican Professional Park, Hammond, LA 70403-2412 | 2007-05-23 |
| 1356462972 | Mark Devin Drummond | Registered Nurse | 42388 Pelican Professional Park, Hammond, LA 70403 | 2007-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074403 | Elizabeth M Norman | Nurse Practitioner | 19065 Dr John Lambert Drive, Hammond, LA 70403 | 2020-02-06 |
| 1942830757 | Trinity Wellness Counseling LLC. | Social Worker | 43171 Tillman Dr, Hammond, LA 70403 | 2020-01-21 |
| 1407419138 | Cypress Pointe Urgent Care, LLC | Clinic/Center | 19065 Dr. John Lambert Drive, Hammond, LA 70403 | 2019-04-18 |
| 1700341724 | Taylor Kioria Johnson | Specialist/Technologist | 40151 Macedonia Rd, Hammond, LA 70403 | 2019-02-04 |
| 1912478264 | Julean Marie Walters | Behavioral Analyst | 1250 Sw Railroad Ave., Suite 130, Hammond, LA - LOUISIANA 70403 | 2018-12-16 |
| 1659849263 | Andie Street | Speech-Language Pathologist | 1000 Cm Fagan Drive, Unit C, Hammond, LA 70403 | 2018-11-13 |
| 1932684701 | Kurt Edwin Dichiara | Chiropractor | 1330 S Magnolia St, Suite B, Hammond, LA 70403 | 2018-09-27 |
| 1225529175 | Heart To Heart Counseling & Counseling | Social Worker | 30430 Dawson Ln, Hammond, LA 70403 | 2018-05-27 |
| 1477041630 | Epiphany Healthcare of Hammond | Psychiatry & Neurology | 906 Cm Fagan Drive Bldg A Ste 6a, Hammond, LA 70403 | 2018-04-24 |
| 1457850158 | Dynamic Performance Chiropractic of Hammond | Chiropractor | 1330 South Magnolia, Suite B, Hammond, LA 70403 | 2018-02-08 |
| Find all providers in zip 70403 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477852978 | Andrea Anderson Peevy | Nurse Practitioner | War Memorial Student Union Anx, Hammond, LA 70402-4142 | 2011-03-23 |
| 1457522211 | Kristin Cutrer Lea | Nurse Practitioner | 15770 Paul Vega Dirve, Hammond, LA 70403 | 2008-03-19 |
| 1588876148 | Lynn Marie Miskovich | Nurse Practitioner | 5514 S Hohman Ave, Hammond, IN 46320-1933 | 2007-05-04 |
| 1609098607 | Martha Socorro Kozub | Nurse Practitioner | 5514 Hohman Ave., Hammond, IN 46320 | 2007-05-02 |
| 1912961327 | Erin Mcmanus-tomaszewski | Nurse Practitioner | 7 Sibley St, Hammond, IN 46320-1725 | 2006-04-13 |
| 1023508041 | Brittany Michelle Zimmer | Nurse Practitioner | 15790 Paul Vega Dr, Hammond, LA 70403-1436 | 2018-05-15 |
| 1316342538 | Kenneth J Pitcher | Nurse Practitioner | 15790 Paul Vega Md Dr, Hammond, LA 70403-1434 | 2014-10-30 |
| 1689962730 | David Allen Dionne | Nurse Practitioner | 17170 S I 12 Service Rd, Hammond, LA 70403-2408 | 2011-07-11 |
| 1972743243 | Jean Genzale-bertrand | Nurse Practitioner | 16070 Doctors Blvd, Hammond, LA 70403-1478 | 2009-02-26 |
| 1457515702 | Edith Fletcher Durand | Nurse Practitioner | 2101 Robin Ave, Suite 1, Hammond, LA 70403-5772 | 2008-07-16 |
| Find all providers in HAMMOND | ||||
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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.