Shermaine Danielle Booker, CMA, CPT, CPRP

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Practice address

112 Crosstimber Way
Frederick, MD 21702-3080

Phone

(240) 818-3271

NPI assigned

Jul 20, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Ms. Shermaine Danielle Kidd Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Medical Assistant

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1093495475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 CROSSTIMBER WAY",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217023080",
            "telephone_number": "240-818-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 CROSSTIMBER WAY",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217023080",
            "telephone_number": "240-818-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "SHERMAINE",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "CMA, CPT, CPRP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERMAINE",
            "last_name": "KIDD",
            "middle_name": "DANIELLE",
            "prefix": "MS.",
            "credential": "CMA, CPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Krystle Bonet
• Beronica Bonilla, LCSW-C
• Helen Bonilla
• Daniel Charles Bonnette, PT
• Veronica Marie Bonsby
• Dinesh Boppana, DMD
• Breck Borcherding, M.D.
• Chris A Borkman, D.D.S.
• Hillary Ann Borsa, CRNP
• Erin Boss

• Phlebotomy Technician in Frederick, MD
• Providers in Frederick, MD by specialty
• Phlebotomy Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.