GINA BOOTH (NPI# 1619372273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619372273 |
| Entity Type | Individual |
| Full Name | GINA BOOTH |
| Credential | LMBT, MMT |
| Practice Address |
711 N Hwy 64 Manteo NC 27954 |
| Mailing Address |
129 Dolphin Dr Manteo NC 27954-9102 |
| Practice Telephone | 2522562717 |
| Mailing Telephone | 2522562717 |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 11661 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003191578 | Gina Booth | Massage Therapist | 6829 Broadway Ave, Cleveland, OH 44105-1313 | 2011-10-17 |
| Street Address |
711 N HWY 64 |
| City | MANTEO |
| State | NC |
| Zip Code | 27954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316598873 | Island Pharmacy Inc | Pharmacy | 210 S Us Hwy 64/264, Manteo, NC 27954 | 2019-09-26 |
| 1104300847 | Saskia Thompson | Pharmacist | Cvs, 1115 South, Us-64, Manteo, NC 27954 | 2018-09-19 |
| 1184052870 | Katherine Ruth Moore | Pharmacist | 1115 South Us Highway 64, Manteo, NC 27954 | 2013-10-16 |
| 1033556162 | Troy B Sluder IIi Dds Pllc | Dentist | 503 Cypress Lane Suite C, Manteo, NC 27954 | 2013-05-30 |
| 1013219369 | Amanda Elizabeth Hall | Speech-Language Pathologist | 706 Arvilla Lane, Manteo, NC 27954 | 2010-11-18 |
| 1912186735 | Making A Difference Community Support LLC | Clinic/Center | 102 Old Tom Ave., Manteo, NC 27954 | 2007-10-29 |
| 1619156718 | Dare Medical & Cardiovascular Associates | Internal Medicine | 604 Amanda Street, Manteo, NC 27954 | 2007-10-25 |
| 1518164607 | Heather R Wedgworth | Physical Therapist | 110 S Us Hwy 64/264, Manteo, NC 27954 | 2007-07-02 |
| 1306048186 | Dare County Department of Social Services | Public Health or Welfare | 107 Exeter St., Manteo, NC 27954 | 2007-06-04 |
| 1508908617 | Kelly F Roberts | Social Worker | 704 North Hwy 64, Manteo, NC 27954 | 2007-02-13 |
| Find all providers in zip 27954 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780438 | Maurice Lemont Suggs | Massage Therapist | 2700 Cluskey Way Apt 303, Raleigh, NC 27615-8067 | 2020-11-08 |
| 1275133183 | Nick Van Ngo | Massage Therapist | 6208 Fayetteville Rd Ste 101, Durham, NC 27713-6286 | 2020-10-29 |
| 1235739756 | Tamara Leigh Blankenship | Massage Therapist | 2427 Pebblestone Ct, Gastonia, NC 28054-2728 | 2020-10-26 |
| 1366041972 | Brandon Hammonds | Massage Therapist | 806 Autumn Leaves Ct, Wilmington, NC 28411-7777 | 2020-10-23 |
| 1972102069 | Lacretia Denise Ray | Massage Therapist | 310 W Copenhaver Dr, Clayton, NC 27527-9549 | 2020-10-20 |
| 1366041766 | Jonathan P Godwin | Massage Therapist | 4104 Cross Creek Ct Apt D, Raleigh, NC 27607-6549 | 2020-10-19 |
| 1376141994 | Jonathan D Thompson | Massage Therapist | 215 N Hayne St, Monroe, NC 28112-4856 | 2020-10-15 |
| 1548868706 | Jairo Marte | Massage Therapist | 2311 W Cone Blvd Ste 121, Greensboro, NC 27408-4042 | 2020-10-11 |
| 1558968867 | Lonnie A Coleman | Massage Therapist | 516 Coapman St Apt B, Greensboro, NC 27407-1873 | 2020-10-08 |
| 1588261895 | Heather Ferrell | Massage Therapist | 1998 Hendersonville Rd Ste 12, Asheville, NC 28803-2192 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
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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.