Booth House Primary Care, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BOOTH HOUSE PRIMARY CARE, PLLC

Practice address

1 Booth House LN # 1B
New Milford, CT 06776-3097

Phone

(860) 799-0146

NPI assigned

Jul 14, 2025

Last updated

Nov 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Loretta J Pace, AGNP-CNPI 1346005139

Title

Managing Member

Phone

(203) 558-0020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Loretta J Pace, APRN

  • Adult Health Nurse Practitioner
  • New Milford, CT
  • NPI 1346005139
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1053202242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BOOTH HOUSE LN # 1B",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067763097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BOOTH HOUSE LN # 1B",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067763097",
            "telephone_number": "860-799-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOTH HOUSE PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "203-558-0020",
        "authorized_official_credential": "AGNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet S Bloch, LCSW
• Body Mind Spine Chiropractic LLC
• Ryan Martin Bohdan, DPT
• Catherine Bolduc, LPC
• Amy Bondeson, LPC
• Erin N. Boothby, L.C.S.W.
• Kathleen Boyce
• Susan J Braccio, MSWLCSW
• Brace and Limb of Connecticut LLC
• Alan Braverman, M.D.

• Primary Care Clinic/Center in New Milford, CT
• Providers in New Milford, CT by specialty
• Primary Care Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.