Active NPI
Chanta Monique Booker
- Health Educator
- Pikesville, MD
National Provider Identifier
1063177277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 1829 Reisterstown Rd Ste 350
Pikesville, MD 21208-7126 - Phone
- (443) 641-9407
- NPI assigned
- Nov 2, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Health & Wellness Coach | 171400000X | |||
| Chore Provider | 372500000X | |||
| Home Health Aide | 374U00000X | |||
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
1829 Reisterstown Rd Ste 350
Pikesville, MD 21208-7126
Mailing address
1 Arrowood CT
Rosedale, MD 21237-3835
Phone (443) 562-9657
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | information@equitablescg.org | Direct |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635811200000",
"number": "1063177277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ARROWOOD CT",
"city": "ROSEDALE",
"state": "MD",
"postal_code": "212373835",
"telephone_number": "443-562-9657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1829 REISTERSTOWN RD STE 350",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212087126",
"telephone_number": "443-641-9407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOKER",
"first_name": "CHANTA",
"middle_name": "MONIQUE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-02",
"last_updated": "2021-11-02",
"certification_date": "2021-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "information@equitablescg.org",
"affiliation": "N",
"endpointDescription": "company email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1829 Reisterstown Rd Ste 350",
"city": "Pikesville",
"state": "MD",
"country_code": "US",
"postal_code": "212087126",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Pikesville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.