MRS. JENNIFER BOYD BOOTLE (NPI# 1417296898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417296898 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER BOYD BOOTLE |
| Credential | FNP |
| Practice Address |
14089 Abercorn St Savannah GA 31419-1966 |
| Practice Telephone | 9123502121 |
| Practice Fax Number | 9123502145 |
| Mailing Telephone | 9123502121 |
| Mailing Fax Number | 9123502145 |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2014-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
18172 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN227783 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003138354A | 05 | |
| GA | 003138354B | 05 | |
| GA | 003138354C | 05 | |
| GA | 003138354D | 05 | |
| GA | RAILROAD MEDICARE | P01241129 | 01 |
| Street Address |
14089 ABERCORN ST |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31419-1966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437181112 | Daniel Paul Decamp | Family Medicine | 14089 Abercorn St, Savannah, GA 31419-1966 | 2006-07-06 |
| 1871109017 | Stephanie Green | Nurse Practitioner | 14089 Abercorn St, Savannah, GA 31419-1966 | 2020-09-22 |
| 1811417454 | Theresa Hope Hill | Registered Nurse | 14089 Abercorn St, Savannah, GA 31419-1966 | 2017-06-25 |
| 1659776391 | Amy Craven Harrelson | Physician Assistant | 14089 Abercorn St, Savannah, GA 31419-1966 | 2014-10-23 |
| 1962817601 | Applecare Memorial Immediate Care Joint Venture LLC | Clinic/Center | 14089 Abercorn St, Savannah, GA 31419-1966 | 2014-06-20 |
| 1952642290 | Mppg, Inc. | Emergency Medicine | 14089 Abercorn St, Savannah, GA 31419-1966 | 2013-03-12 |
| 1730316001 | Emily Ann Baise-shuman | Physician Assistant | 14089 Abercorn St, Savannah, GA 31419-1966 | 2009-06-15 |
| 1366684318 | Hayley Hasty Lesuer | Physician Assistant | 14089 Abercorn St, Savannah, GA 31419-1966 | 2009-04-06 |
| 1407098189 | Lindsay T Abernethy | Physician Assistant | 14089 Abercorn St, Savannah, GA 31419-1966 | 2009-03-27 |
| 1467691402 | Paula Suzanne Willis | Physician Assistant | 14089 Abercorn St, Savannah, GA 31419-1966 | 2009-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
| 1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
| 1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
| 1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
| 1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
| 1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
| 1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
| 1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
| 1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
| 1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
| Find all providers in zip 31419 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316820 | Odyne Rose Lacossiere-dorvilus | Nurse Practitioner | 30 Myrtlewood Dr, Savannah, GA 31405-1024 | 2020-11-06 |
| 1952900383 | Micaiah Mitchell | Nurse Practitioner | 10612 Middleground Rd Apt 513, Savannah, GA 31419-1268 | 2020-10-17 |
| 1104424712 | Yolanda Michelle Miller | Nurse Practitioner | 1651 Mckinnon Dr, Savannah, GA 31404-2319 | 2020-10-15 |
| 1730795386 | Shanika Graham | Nurse Practitioner | 2330 Coakley St, Savannah, GA 31404-4947 | 2020-09-18 |
| 1508479775 | Tonya L Creasy | Nurse Practitioner | 170 Barker Dr, Savannah, TN 38372-8419 | 2020-08-28 |
| 1356952394 | Elizabeth Woods Hammond | Nurse Practitioner | 107 W Liberty St Apt 6, Savannah, GA 31401-3965 | 2020-08-13 |
| 1740898915 | Bryan S Christain | Nurse Practitioner | 340 Hodgson Ct Ste 2, Savannah, GA 31406-1523 | 2020-07-14 |
| 1841814753 | Billie Sweeney | Nurse Practitioner | 134 Horse Creek Rd, Savannah, TN 38372-2984 | 2020-06-05 |
| 1609401140 | Malika Anderson Batie | Nurse Practitioner | 1632 Cloverdale Dr, Savannah, GA 31415-7814 | 2020-03-05 |
| 1760017206 | Evelia Johnsen | Nurse Practitioner | 11702 Mercy Blvd Ste 2g, Savannah, GA 31419-1777 | 2020-03-05 |
| Find all providers in SAVANNAH | ||||
Please comment or provide details below to improve the information on MRS. JENNIFER BOYD BOOTLE.
| 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.