TIMOTHY R BOOTH (NPI# 1477030922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477030922 |
| Entity Type | Individual |
| Full Name | TIMOTHY R BOOTH |
| Credential | CDC1,BHA1 |
| Practice Address |
1131 E International Airport Rd Anchorage AK 99518-1408 |
| Practice Telephone | 9072472700 |
| Practice Fax Number | 9072224279 |
| Mailing Telephone | 9072472700 |
| Mailing Fax Number | 9072224279 |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2019-03-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
4132 | AK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134186604 | Timothy N Booth | Radiology | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-04-28 |
| Street Address |
1131 E INTERNATIONAL AIRPORT RD |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99518-1408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710928619 | The Aleutian Pribilof Islands Association, Inc. | Social Worker | 1131 E International Airport Rd, Anchorage, AK 99518-1408 | 2006-06-10 |
| 1295379535 | Alicia Marvin | Counselor | 1131 E International Airport Rd, Anchorage, AK 99518-1408 | 2019-10-30 |
| 1053955427 | Marc Steven Dutch | Psychologist | 1131 E International Airport Rd, Anchorage, AK 99518-1408 | 2019-10-29 |
| 1275196941 | Jacqueline Williams | Psychologist | 1131 E International Airport Rd, Anchorage, AK 99518-1408 | 2019-04-18 |
| 1437630035 | Rosemarie L Savage | Community Health Worker | 1131 E International Airport Rd, Anchorage, AK 99518-1408 | 2018-08-22 |
| 1033630843 | Tracy Stewart | Counselor | 1131 E International Airport Rd, Anchorage, AK 99518-1408 | 2017-06-30 |
| 1356724314 | Keri Boyd | Psychologist | 1131 E International Airport Rd, Anchorage, AK 99518-1408 | 2015-07-08 |
| 1649667437 | Aleutian Pribilof Islands Association, Inc. | Public Health or Welfare | 1131 E International Airport Rd, Anchorage, AK 99518-1408 | 2015-04-20 |
| 1962825810 | Jennifer Merculief | Community Health Worker | 1131 E International Airport Rd, Anchorage, AK 99518-1408 | 2014-01-29 |
| 1164851960 | Tina Marie Woods | Psychologist | 1131 E International Airport Rd, Anchorage, AK 99518-1408 | 2013-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871952648 | Daniel & Max, LLC | Optometrist | 8300 Homer Drive, Anchorage, AK 99518 | 2016-02-22 |
| 1093133266 | Bidney Turner | Registered Nurse | 8130 Old Sweard Highway, Suite #103, Anchorage, AK 99518 | 2014-04-03 |
| 1407271265 | Diane Clare Espinosa | Speech-Language Pathologist | 708 Blackburn Ct., Anchorage, AK 99518 | 2014-03-03 |
| 1366865859 | Infinite Care of Alaska LLC | Home Health | 165 East 56th Ave., Suite #3, Anchorage, AK 99518 | 2014-02-04 |
| 1669712477 | Medical Services | Durable Medical Equipment & Medical Supplies | 5401 North Star St, Anchorage, AK 99518 | 2013-02-15 |
| 1346503364 | Eric Mellor Larsen | Social Worker | 5308 Northstar St, Anchorage, AK 99518 | 2012-06-25 |
| 1245443662 | Wisdom Traditions Wellness, LLC | Acupuncturist | 615 E 82nd Avenue Suite B-5, Suite #17, Anchorage, AK 99518 | 2007-05-08 |
| 1902929813 | Stannealh Inc. 2 | Residential Treatment Facility, Physical Disabilities | 7452 Nathan Dr., Anchorage, AK 99518 | 2007-04-06 |
| 1679641500 | Annett Marie Pipkin | Specialist | 5401 Northstar, #a, Anchorage, AK 99518 | 2006-11-30 |
| 1922172022 | Mark E Silverman | Dentist | 7926 Old Seward Hwy, Ste B7, Anchorage, AK 99518 | 2006-11-20 |
| Find all providers in zip 99518 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334993 | Terria Jean Vandenhuerk | Counselor | 7125 Old Seward Hwy Ste 201, Anchorage, AK 99518-2282 | 2020-10-22 |
| 1558980938 | Theresa Johnson | Counselor | 3230 C St Ste 100, Anchorage, AK 99503-3918 | 2020-04-15 |
| 1548896293 | Yazmin B Sanchez | Counselor | 3760 Piper St Ste 1090, Anchorage, AK 99508-4683 | 2020-03-13 |
| 1205470572 | Briana Salome Pili | Counselor | 741 N Bunn St Apt 1, Anchorage, AK 99508-1696 | 2019-10-30 |
| 1104460484 | Erica Lolesio | Counselor | 741 N Bunn St Apt 3, Anchorage, AK 99508-1696 | 2019-10-30 |
| 1609410901 | Maggie May Rhodes | Counselor | 741 N Bunn St Apt 4, Anchorage, AK 99508-1696 | 2019-10-30 |
| 1598327074 | Anna Sappah | Counselor | 401 W International Airport Rd Ste 27, Anchorage, AK 99518-1168 | 2019-07-03 |
| 1902463581 | Karsandra Dianne Higuera | Counselor | 400 W Tudor Rd Ste A400, Anchorage, AK 99503-6652 | 2019-05-20 |
| 1760047575 | Kelli Lynne Hyden | Counselor | 3600 San Jeronimo Dr Ste 201, Anchorage, AK 99508-2870 | 2019-05-07 |
| 1396244893 | Eydie Yvonne Flygare | Counselor | 8131 Medellin Cir Unit A, Anchorage, AK 99507-3270 | 2018-02-09 |
| Find all providers in ANCHORAGE | ||||
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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.