Individual provider Active NPI

Mikala Rose Lee Booher, D.C.

  • Chiropractor
  • Bee Cave, TX
National Provider Identifier
1114658218
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15113 Issued in TX
Practice address
12101 Bee Caves Rd Ste 5B
Bee Cave, TX 78738-6464
Phone
(512) 297-2288
NPI assigned
Jun 20, 2022
Last updated
Jun 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15113 TX Primary

Addresses

Primary practice location

12101 Bee Caves Rd Ste 5B
Bee Cave, TX 78738-6464

Mailing address

3499 Ranch Road 620 S Apt M8103
Austin, TX 78738-7043
Phone (972) 757-3506

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Wellness Chiropractic & Acupuncture Chiropractor CurrentSince Jun 26, 2022 Accepting new patients

Locations

12101 FM 2244 Rd
Ste 5B
Bee Cave, TX 78738
Phone (512) 297-2288

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1114658218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3499 RANCH ROAD 620 S APT M8103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787387043",
            "telephone_number": "972-757-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12101 BEE CAVES RD STE 5B",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "787386464",
            "telephone_number": "512-297-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOHER",
        "first_name": "MIKALA",
        "middle_name": "ROSE LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bee Cave, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.