Miguel D. Booker

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

5320 Delora Ave
Cleveland, OH 44144-4127

Phone

(702) 843-9829

NPI assigned

Aug 10, 2023

Sex

Male

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

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1073296505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 DELORA AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441444127",
            "telephone_number": "702-843-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 DELORA AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441444127",
            "telephone_number": "702-843-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "MIGUEL",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Terese Bonvissuto, APRN, FNP-C
• Maria Elana Bonvissuto, AUD
• Karen Boodjeh, LMT
• Booker T Griffin Transportation Services LLC
• Kanela Romesa Booker, CNP
• Nina P Booker, LISW
• Rayshon Booker
• Shaquida Sherrese Booker, CDCA
• Tamia Lanee Booker
• Tracy Booker, RN, BSN.

• Health & Wellness Coach in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Health & Wellness Coach in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.