Vicki Boothe, R.N.

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

RN00068650 Issued in WA

Practice address

26254 NE Barrett Rd
Kingston, WA 98346-9342

Phone

(425) 773-5012

NPI assigned

Sep 26, 2016

Last updated

Sep 26, 2016By the provider in NPPES

Sex

Female

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1174072623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26254 NE BARRETT RD",
            "city": "KINGSTON",
            "state": "WA",
            "postal_code": "983469342",
            "telephone_number": "425-773-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26254 NE BARRETT RD",
            "city": "KINGSTON",
            "state": "WA",
            "postal_code": "983469342",
            "telephone_number": "425-773-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTHE",
        "first_name": "VICKI",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WA",
            "license": "RN00068650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayna Rose Benefield, BHA, 0001
• Ann C Best, RN
• Holly A Blanton, RN
• Eldon Garrett Bloch, DDS
• Arthur Emerson Bloom, L.M.P
• Jennifer Emily Boyd, LMP
• Sara Christine Brazeau, MA
• Daniel M Brewer, MA PSYCHOLOGY
• Susan E Brown, RC
• Patti Cagle

• Psychiatric/Mental Health Registered Nurse in Kingston, WA
• Providers in Kingston, WA by specialty
• Psychiatric/Mental Health Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.