MARLENE ANGELA BOOTHE (NPI# 1700337839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700337839 |
| Entity Type | Individual |
| Full Name | MARLENE ANGELA BOOTHE |
| Practice Address |
1401 Parkmoor Ave Ste 230 San Jose CA 95126-3403 |
| Mailing Address |
3123 Mcvie Dr Stockton CA 95212-3428 |
| Practice Telephone | 4089719822 |
| Practice Fax Number | 4085087747 |
| Mailing Telephone | 5102749950 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-11-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1401 PARKMOOR AVE STE 230 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95126-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295959443 | Stephany Crisolo Aiello | Behavioral Analyst | 1401 Parkmoor Ave, Ste #208, San Jose, CA 95126-3403 | 2007-04-12 |
| 1871145482 | Desiree Valencia | Behavior Technician | 1401 Parkmoor Ave, Suite 208, San Jose, CA 95126-3403 | 2019-07-13 |
| 1780236398 | Desiree Holland | Behavior Technician | 1401 Parkmoor Ave, Suite 208, San Jose, CA 95126-3403 | 2019-07-13 |
| 1861044471 | Tim Welch | Behavior Technician | 1401 Parkmoor Ave, Suite 208, San Jose, CA 95126-3403 | 2019-07-13 |
| 1770135386 | Jessica Jones | Behavior Technician | 1401 Parkmoor Ave, Suite 208, San Jose, CA 95126-3403 | 2019-07-13 |
| 1639739832 | Dylan Duvio | Behavior Technician | 1401 Parkmoor Ave, Suite 208, San Jose, CA 95126-3403 | 2019-06-19 |
| 1013577212 | Timothy Harlan | Behavior Technician | 1401 Parkmoor Ave, Suite 208, San Jose, CA 95126-3403 | 2019-06-19 |
| 1831759034 | Jannet Arellano | Behavior Technician | 1401 Parkmoor Ave, Suite 208, San Jose, CA 95126-3403 | 2019-06-19 |
| 1164082376 | Shelley Mae Iglesias | Behavior Technician | 1401 Parkmoor Ave, Suite 208, San Jose, CA 95126-3403 | 2019-06-19 |
| 1073173282 | Roini Gomez | Behavior Technician | 1401 Parkmoor Ave, Suite 208, San Jose, CA 95126-3403 | 2019-06-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356830418 | Esperanza Maravilla | Counselor | 1259 Park Ave, Apt 15, San Jose, CA 95126 | 2018-05-04 |
| 1811417819 | Sahr Lawande | Occupational Therapist | 1373 University Ave, San Jose, CA 95126 | 2017-06-21 |
| 1063941482 | Yang Li | Acupuncturist | 1520 Southwest Expy Unit 141, San Jose, CA 95126 | 2017-06-08 |
| 1598294860 | Camille Campbell | Counselor | 1400 Parkmoor Avenue, Suite 115, San Jose, CA 95126 | 2017-06-08 |
| 1588193387 | Vanessa Aspera | Case Manager/Care Coordinator | 1400 Parkmoor Avenue, San Jose, CA 95126 | 2017-06-06 |
| 1538692603 | Alexa Stine Fields | Acupuncturist | 714 Harding Ave, San Jose, CA 95126 | 2017-04-06 |
| 1669903647 | Lillette Rosete | Assisted Living Facility | 960 Vermont St, San Jose, CA 95126 | 2017-03-22 |
| 1952847105 | Dana Ninkham | Behavior Technician | 1922 The Alameda Suite 425, San Jose, CA 95126 | 2017-01-12 |
| 1811441199 | Cristina Morales Delgado | Community Health Worker | 1400 Parkmore Avenue, Suite 115, San Jose, CA 95126 | 2016-08-04 |
| 1053770123 | Felicia Nibungco | Marriage & Family Therapist | 1922 The Alameda Ste 326, San Jose, CA 95126 | 2016-02-18 |
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| 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 |
|---|---|---|---|---|
| 1215536206 | Marissa Burton | Student in an Organized Health Care Education/Training Program | 1759 Queenstown Dr, San Jose, CA 95132-1755 | 2020-10-21 |
| 1891394987 | Shannon Shen | Student in an Organized Health Care Education/Training Program | 190 Ryland St Apt 3422, San Jose, CA 95110-2295 | 2020-10-20 |
| 1750992152 | Jolene Thu Tran | Student in an Organized Health Care Education/Training Program | 2811 Glauser Dr, San Jose, CA 95133-1410 | 2020-08-11 |
| 1588273270 | Kimberly Ngoc Nguyen | Student in an Organized Health Care Education/Training Program | 3094 Seafield Ct, San Jose, CA 95148-4044 | 2020-07-28 |
| 1699393884 | Nancy Tang | Student in an Organized Health Care Education/Training Program | 3130 Brightwood Ct, San Jose, CA 95148-2649 | 2020-07-14 |
| 1548884125 | Chelsea Lorraine Barnes | Student in an Organized Health Care Education/Training Program | 1045 Lincoln Ct, San Jose, CA 95125-2638 | 2020-05-30 |
| 1891318705 | Magdalena Cachu-enciso | Student in an Organized Health Care Education/Training Program | 1624 June Ave, San Jose, CA 95122-2211 | 2020-05-26 |
| 1104448729 | Veerali Juthani | Student in an Organized Health Care Education/Training Program | 3920 Braeburn Ct, San Jose, CA 95130-1206 | 2020-05-18 |
| 1811518020 | Thomas Vo | Student in an Organized Health Care Education/Training Program | 3205 San Rivas Dr, San Jose, CA 95148-2037 | 2020-04-28 |
| 1831727130 | Brent Carmona | Student in an Organized Health Care Education/Training Program | 3791 Heppner Ln, San Jose, CA 95136-1506 | 2020-03-31 |
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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.