Aquanetta Booker, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704205890 Issued in MI

Practice address

11699 Ashton Ave
Detroit, MI 48228-1137

Phone

(313) 434-1435

NPI assigned

May 26, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1043539331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11699 ASHTON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482281137",
            "telephone_number": "313-434-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11699 ASHTON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482281137",
            "telephone_number": "313-434-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "AQUANETTA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704205890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Bonnett, MD
• Michelle L Bonnett, MD
• Katherine Elizabeth Bono, LMSW
• Caylin Eileen Bonser-White, RN
• Adero Booker
• Domeneque Booker
• Donna Lynn Booker
• James Booker
• Judith M Booker, L.P.C.
• Kennedy Cheyenne Booker I

• Registered Nurse in Detroit, MI
• Providers in Detroit, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.