Active NPI
Lydia Booher, MSN, APRN, ACNS-BC,
- Adult Health Clinical Nurse Specialist
- Akron, OH
National Provider Identifier
1013392646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- COA.12299-NS
- Practice address
- 2320 12TH St SW
Akron, OH 44314-2058 - Phone
- (330) 701-3591
- NPI assigned
- Jul 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Clinical Nurse Specialist | 364SA2200X | COA.12299-NS | OH | Primary |
Addresses
Primary practice location
2320 12TH St SW
Akron, OH 44314-2058
Mailing address
2320 12TH St SW
Akron, OH 44314-2058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.12299-NS | OH | MD | Adult Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437696000000",
"number": "1013392646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 12TH ST SW",
"city": "AKRON",
"state": "OH",
"postal_code": "443142058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 12TH ST SW",
"city": "AKRON",
"state": "OH",
"postal_code": "443142058",
"telephone_number": "330-701-3591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOHER",
"first_name": "LYDIA",
"credential": "MSN, APRN, ACNS-BC,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-24",
"last_updated": "2015-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "OH",
"license": "COA.12299-NS",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.