Katrina Ann Booth, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

31575 Issued in AL

Practice address

50 E Rivercenter Blvd Ste 434
Covington, KY 41011-1660

Phone

(833) 358-2278

NPI assigned

Jul 10, 2008

Last updated

Nov 26, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: kbooth@landmarkhealth-direct.org

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1548424385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7755 CENTER AVE",
            "address_2": "STE 630",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926479152",
            "telephone_number": "657-400-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E RIVERCENTER BLVD STE 434",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410111660",
            "telephone_number": "833-358-2278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1530 3rd Ave S",
            "address_2": "CH 19, Room 201",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352942041",
            "country_code": "US",
            "telephone_number": "205-934-9261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5151 Pfeiffer Rd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452424854",
            "country_code": "US",
            "telephone_number": "833-358-2036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "KATRINA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AL",
            "license": "31575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blanks Pharmacy Inc (Blanks Pharmacy)
• Bluegrass Dialysis LLC (12th Street Covington Dialysis)
• Bluegrass Oxygen Inc
• Susanne Bodine, APRN
• Heidi Bohman, LPCA
• Misty Bostic, BA
• Megan Bowlespie
• Mark A Boyd, MD
• Kennetra Bradshaw, RD
• Danielle N. Brantley-Gilbert, LPCC

• Geriatric Medicine (Internal Medicine) Physician in Covington, KY
• Providers in Covington, KY by specialty
• Geriatric Medicine (Internal Medicine) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.