MRS. BRENDA GALVIN BOOTH NP
NPI 1255417838
Nurse Practitioner in Fayetteville, NC

NPI Status: Active since October 27, 2006

Contact Information

1248 FORT BRAGG RD
FAYETTEVILLE, NC
ZIP 28305
Phone: (910) 323-0334
Fax: (888) 391-5874

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  • Individual
  • Female
  • Nurse Practitioner

About BRENDA BOOTH

This page provides the complete NPI Profile along with additional information for Brenda Booth, a provider established in Fayetteville, North Carolina with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1255417838 assigned on October 2006. The practitioner's primary taxonomy code is 363L00000X with license number 5000596 (NC). The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI
1255417838
Provider Name
MRS. BRENDA GALVIN BOOTH NP
Gender
Female
Entity Type
Individual
Location Address
1248 FORT BRAGG RD FAYETTEVILLE, NC 28305
Location Phone
(910) 323-0334
Location Fax
(888) 391-5874
Mailing Address
112 PARKVIEW AVE FAYETTEVILLE, NC 28305
Mailing Phone
(910) 323-0334
Mailing Fax
(888) 391-5874
Is Sole Proprietor?
No
Enumeration Date
10-27-2006
Last Update Date
06-19-2012
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A nurse practitioner (NP) like Brenda Booth is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
5000596
License State
NC
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LA2200XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Adult Health

2005003026 (NC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2005003026OTHER (01)MDAMERICAN NURSES CREDENTIALING CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255417838
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105811486
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 8 + 1 + 1 + 4 + 8 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1255417838 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245291731 SHOBHA R GALI MD
Individual
Family Medicine1248 FORT BRAGG RD
FAYETTEVILLE, NC 28305
(910) 486-6818
1679597025DR. GEORGE CONSTANTINE PANTELAKOS MD
Individual
Family Medicine1248 FORT BRAGG RD
FAYETTEVILLE, NC 28305
(910) 323-0334
1114006533DR. ROBERT WILLIAM TWADDELL D.C.
Individual
Chiropractor1248 FORT BRAGG RD
FAYETTEVILLE, NC 28305
(910) 486-9500
1851461693MRS. VICKI BLACKWELL CHRISTIAN LPN
Individual
Licensed Practical Nurse1248 FORT BRAGG RD
FAYETTEVILLE, NC 28305
(910) 323-0334
1609090646 CHRISTINE OSTERKAMP MS, RD, LD
Individual
Dietitian, Registered1248 FORT BRAGG RD
FAYETTEVILLE, NC 28305
(910) 978-5401
1649588997ROBERT TWADDELL
Organization
Durable Medical Equipment & Medical Supplies1248 FORT BRAGG RD
FAYETTEVILLE, NC 28305
(910) 486-9511
1346359908VILLAGE FAMILY CARE CENTER PA
Organization
Family Medicine1248 FORT BRAGG RD SUITE 200
FAYETTEVILLE, NC 28305
(910) 486-6818
1891782033HIGHLAND FAMILY PRACTICE PA
Organization
Family Medicine1248 FORT BRAGG RD
FAYETTEVILLE, NC 28305
(910) 323-0334
1376547356 DAVID R PARKER MD
Individual
Family Medicine1248 FORT BRAGG RD SUITE 200
FAYETTEVILLE, NC 28305
(910) 486-6818
1952983785 DEBORAH JEAN SIDES NP
Individual
Nurse Practitioner (Adult Health)1248 FORT BRAGG RD
FAYETTEVILLE, NC 28305
(910) 486-6818
1326497579MS. OLIVIA JOY AYRE
Individual
Physician Assistant1248 FORT BRAGG RD
FAYETTEVILLE, NC 28305
(910) 486-6818
1801514922MRS. CARRIE MAE CLOUGH FNP-BC
Individual
Nurse Practitioner (Family)1248 FORT BRAGG RD
FAYETTEVILLE, NC 28305
(910) 323-0334
1376111740MR. JOHNATHON RAYMOND RUSH LCSW
Individual
Social Worker (Clinical)1248 FORT BRAGG RD
FAYETTEVILLE, NC 28305
(910) 759-4852

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255417838, enumerated in the NPI registry as an "individual" on October 27, 2006

The provider is located at 1248 Fort Bragg Rd Fayetteville, Nc 28305 and the phone number is (910) 323-0334

The provider's speciality is Nurse Practitioner with taxonomy code 363L00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 27, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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