Angela D Booker, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

267712-1 Issued in NY

Practice address

2105 W Genesee St
Syracuse, NY 13219-1698

Phone

(315) 468-3239

Fax

(315) 468-2917

NPI assigned

Jul 14, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1023321494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 KIRK AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132051234",
            "telephone_number": "315-454-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 W GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132191698",
            "telephone_number": "315-468-3239",
            "fax_number": "315-468-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "ANGELA",
        "middle_name": "D",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-14",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "267712-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN LICENSE",
            "identifier": "267712-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren M Bonhomme, NP
• Christine E Bonilla, MSED
• Susan Donohue Bonomo, LCSW-R
• Tara Bonomo, SLP
• Joshua Bonville, MD
• Carla D. Booker
• Fronda Sheva Booker, LPN
• Shakeela Anisah Booker, FNP
• Debra A Booton, OD
• Peggy S Borchers, RN

• Licensed Practical Nurse in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.