Amanda Booth, FNP-BC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

105256 Issued in WV

Practice address

1540 Spring Valley Dr
Huntington, WV 25704-9501

Phone

(304) 429-6741

NPI assigned

Jun 29, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Ward Former name

Electronic endpoints 1

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": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1457083255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 SPRING VALLEY DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257049501",
            "telephone_number": "304-429-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 SPRING VALLEY DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257049501",
            "telephone_number": "304-429-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "AMANDA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "105256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ward196@marshall.edu",
            "affiliation": "N",
            "address_1": "14 Hickory Dr",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257049647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "WARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madyson A Boll-Cole
• Sharon Bolton
• Michael J. Bommarito, M.D.
• Carolyn C Bond
• Mikayla Boone, RD
• Kenaja Booth
• Richard Booth Jr., M.D.
• Roger Mark Booth Jr., APRN-CNP
• Traci Lynn Booth, FNP-BC
• Alyssa Brooke Boothe

• Family Medicine Physician in Huntington, WV
• Providers in Huntington, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.