KAITLIN NICOLE BOOTHE (NPI# 1629687967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629687967 |
| Entity Type | Individual |
| Full Name | KAITLIN NICOLE BOOTHE |
| Practice Address |
10027 Estes Hill Ln Conroe TX 77302-4145 |
| Practice Telephone | 3078715550 |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
10027 ESTES HILL LN |
| City | CONROE |
| State | TX |
| Zip Code | 77302-4145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518215953 | Patricia Lynn Feder | Speech-Language Pathologist | 13258 Chappel Wood Ln., Conroe, TX 77302 | 2012-08-15 |
| 1982879482 | Aerocare Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 11133 Interstate 45 S, Suite F, Conroe, TX 77302 | 2008-04-25 |
| 1497026827 | Strawberry Lane | Skilled Nursing Facility | 417 Oakland Ln, Conroe, TX 77302-1216 | 2012-01-17 |
| 1043751092 | Michael Bouley | Occupational Therapy Assistant | 808 Woodland Ln, Conroe, TX 77302-1218 | 2017-03-09 |
| 1548760127 | Willa Pauline Mullen | Licensed Vocational Nurse | 599 Texas Park, Conroe, TX 77302-2005 | 2018-02-20 |
| 1982956033 | Conroe Diagnostic Imaging, Inc | Clinic/Center | 371 Cumberland Trl, Conroe, TX 77302-2903 | 2012-10-12 |
| 1316584642 | Village Care Homes, LLC | Alzheimer Center (Dementia Center) | 414 Stephen F Austin Dr, Conroe, TX 77302-3140 | 2019-12-05 |
| 1235743790 | Little Sprouts Occupational Therapy | Occupational Therapist | 13240 Autumn Ash Dr, Conroe, TX 77302-3143 | 2020-09-02 |
| 1295045284 | Nevaeh Incorporated | Home Health | 13209 Autumn Ash Dr, Conroe, TX 77302-3144 | 2010-10-08 |
| 1497243398 | Lydia Oelschlaeger | Registered Nurse | 13855 Creighton Rd, Conroe, TX 77302-3316 | 2018-04-25 |
| Find all providers in zip 77302 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068811 | Nolan Bond | Student in an Organized Health Care Education/Training Program | 12382 Tramonto Dr, Conroe, TX 77304-4559 | 2020-03-16 |
| 1578004990 | Nidhisha Anireddy | Student in an Organized Health Care Education/Training Program | 15244 Saddlewood Dr, Conroe, TX 77384-3453 | 2017-03-17 |
| 1508485822 | Julian Hilario Jimenez | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-16 |
| 1376162693 | Atharva Prashant Joshi | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-16 |
| 1437779774 | Devin Adam Quiroz | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-16 |
| 1396365631 | Brian Thomas Benjamin | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-16 |
| 1922627389 | Lauren Quyen Duong | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-15 |
| 1720607104 | Bryan J Bessellieu | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-15 |
| 1952920340 | Valerie Christine Hopper | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-15 |
| 1477172849 | Anthony Bert Diaz | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-15 |
| Find all providers in CONROE | ||||
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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.