Individual provider Active NPI

Christine P Booth, ARNP

  • Nurse Practitioner
  • Danvers, MA
National Provider Identifier
1649293911
Registry record updated Oct 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
177115 Issued in MA
Practice address
75 Sylvan St
Suite B-102
Danvers, MA 01923-2740
Phone
(978) 774-7566
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0531032312 NH
Acute Care Nurse Practitioner 363LA2100X 053103-23-12 NH
Nurse Practitioner 363L00000X 177115 MA Primary

Addresses

Primary practice location

75 Sylvan St
Suite B-102
Danvers, MA 01923-2740

Mailing address

11 54TH St
Newbury, MA 01951-1417
Phone (978) 462-1873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040813000530 MA Practitioner - Nurse Practitioner 7810960325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

Practice addresses (Care Compare)

75 Brimbal Ave
Beverly, MA 01915-6009
Phone (978) 927-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0531032312NHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Rehab Consultants PLLC Nurse Practitioner CurrentSince Apr 22, 2024 Accepting new patients
NP Care of Massachusetts LLC Nurse Practitioner Past Accepting new patients
Haverhill Family Practice Past Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

75 Brimbal Ave
Beverly, MA 01915
Phone (978) 685-2460

40 Parkhurst Rd
Chelmsford, MA 01824
Phone (978) 251-3151

15 Kirkbride Dr
Danvers, MA 01923
Phone (978) 558-4120

184 Main St
Fairhaven, MA 02719
Phone (508) 742-3737

73 Chestnut St
Saugus, MA 01906
Phone (781) 231-8123

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224979200000",
    "number": "1649293911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 54TH ST",
            "city": "NEWBURY",
            "state": "MA",
            "postal_code": "019511417",
            "telephone_number": "978-462-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SYLVAN ST",
            "address_2": "SUITE B-102",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232740",
            "telephone_number": "978-774-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "CHRISTINE",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NH",
            "license": "0531032312",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NH",
            "license": "053103-23-12",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "177115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.