Active NPI
Darla Denise Booth, CSFA
- Surgical Assistant
- Port Arthur, TX
National Provider Identifier
1336659044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- SA00622
- Practice address
- 2555 Jimmy Johnson Blvd
Port Arthur, TX 77640-2007 - Phone
- (409) 853-5972
- NPI assigned
- Oct 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | SA00622 | TX | Primary |
Addresses
Primary practice location
2555 Jimmy Johnson Blvd
Port Arthur, TX 77640-2007
Mailing address
2356 Orchid St
Port Arthur, TX 77640-1831
Phone (409) 963-8677
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA00622 | TX | MD | Surgical Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darla First Assist | Surgical Assistant | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Surgical Assistant
- Port Arthur, TX
- NPI 1306358874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507334400000",
"number": "1336659044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2356 ORCHID ST",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776401831",
"telephone_number": "409-963-8677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 JIMMY JOHNSON BLVD",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776402007",
"telephone_number": "409-853-5972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOTH",
"first_name": "DARLA",
"middle_name": "DENISE",
"credential": "CSFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-07",
"last_updated": "2017-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "TX",
"license": "SA00622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Arthur, TX
- Blue Zone Precision Health Medical - Port Arthur, PLLC (BluVida Precision Health & Wellness - Port Arthur)
- Tanisha Bodden, RDN., LD.
- Olayemi Olaoluwa Bolarinwa, MD
- Briana Bollinger, PTA
- David Bradley Bonham Jr., CNP
- Stephen Bosworth, PTA
- Jasmine Yvonne Botley, LVN
- Andrew Botrous, DENTAL STUDENT
- Richard G Bowling, DPM
- Jackie Faye Bradley, M.ED.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.