Anthony Booker, RDH, DA

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60802924 Issued in WA

Practice address

6137 S Cushman Ave
Tacoma, WA 98408-2352

Phone

(561) 308-6619

NPI assigned

Aug 12, 2017

Last updated

Apr 25, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• George Anthony Booker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1502496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1467977215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6137 S CUSHMAN AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984082352",
            "telephone_number": "561-308-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6137 S CUSHMAN AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984082352",
            "telephone_number": "561-308-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "ANTHONY",
        "credential": "RDH, DA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-12",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60802924",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MT",
            "license": "1282",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "DH60284757",
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "WA",
            "license": "D160057846",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGE",
            "last_name": "BOOKER",
            "middle_name": "ANTHONY",
            "credential": "RDH, DA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William Bonnes
• Jami M Bonomo, CDP
• Bernita Bontrager, NIC
• Linda Jean Boogerd
• Wiley Book, AAC
• Kimberly M Booker
• Sheryl J Boon, MD
• Carie Lynn Boone, MS, RD, CD
• Elizabeth Boone
• Eric Boorman, M.D.

• Massage Therapist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.