KIERSTIN NICOLE BOOTH (NPI# 1700487501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700487501 |
| Entity Type | Individual |
| Full Name | KIERSTIN NICOLE BOOTH |
| Practice Address |
47186 Route 152 Kermit WV 25674 |
| Practice Telephone | 3049283507 |
| Mailing Telephone | 3049283507 |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
47186 ROUTE 152 |
| City | KERMIT |
| State | WV |
| Zip Code | 25674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972103711 | Carolyn G Stepp | Technician | 48808 Us 52, Kermit, WV 25674 | 2020-10-30 |
| 1912507724 | Trenna Ann Brewer | Technician | 310 Brewer Road, Left Fork Marrowbone, Kermit, WV 25674 | 2020-10-30 |
| 1316544208 | Pauline Donita Cook | Technician | 140 Salmon Drive, Stepptown, WV 25674 | 2020-10-05 |
| 1619582236 | Charlina Sue Williams | Technician | Route 1 Bo 25, Kermit, WV 25674 | 2020-09-10 |
| 1265047880 | Tiffany Ann Hall | Technician | 200 Vicie Newsome Road, Kermit, WV 25674 | 2020-09-10 |
| 1396350278 | Tabetha Effie Dingess | Technician | 192 Logan Ave., Kermit, WV 25674 | 2020-09-09 |
| 1386257459 | Josephine Newsome | Technician | 266 Church House Road, Kermit, WV 25674 | 2020-08-28 |
| 1457964629 | Helena Gladys Mayhew | Technician | 4288 Marrowbore Creek Road, Kermit, WV 25674 | 2020-08-27 |
| 1477164317 | Nettie Marie Dolen | Technician | 322 Rt. 52 Apt. #8, Kermit, WV 25674 | 2020-08-13 |
| 1003426529 | Jessica Lynn Salmons | Technician | 428 Messer Hollow, Kermit, WV 25674 | 2020-08-10 |
| Find all providers in zip 25674 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508953 | Brandi Nicole Imes | Technician | 7142 Marrowbone Creek Rd, Kermit, WV 25674-7904 | 2020-11-05 |
| 1972103711 | Carolyn G Stepp | Technician | 48808 Us 52, Kermit, WV 25674 | 2020-10-30 |
| 1629678388 | Gregory Keith Mullett | Technician | 45602 Route 52, Kermit, WV 25674-8041 | 2020-10-30 |
| 1912507724 | Trenna Ann Brewer | Technician | 310 Brewer Road, Left Fork Marrowbone, Kermit, WV 25674 | 2020-10-30 |
| 1124628011 | Drema Dale Davis | Technician | 332 Route 52 Apt 2, Kermit, WV 25674-8177 | 2020-10-29 |
| 1720688039 | Gregory Paul Fleming | Technician | 2954 Stonecoal Rd, Kermit, WV 25674-8150 | 2020-10-27 |
| 1942808340 | Jessica Dawn Meade | Technician | 7200 Marrowbone Creek Rd, Kermit, WV 25674-7905 | 2020-10-16 |
| 1306444864 | Marlena Kirk | Technician | 332 Route 52 Apt 23, Kermit, WV 25674-8178 | 2020-10-15 |
| 1619582236 | Charlina Sue Williams | Technician | Route 1 Bo 25, Kermit, WV 25674 | 2020-09-10 |
| 1265047880 | Tiffany Ann Hall | Technician | 200 Vicie Newsome Road, Kermit, WV 25674 | 2020-09-10 |
| Find all providers in KERMIT | ||||
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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.