Individual provider Active NPI

Michelle Anne Booth, D.C.

  • Chiropractor
  • Virginia Beach, VA
National Provider Identifier
1649417304
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556680 Issued in VA
Practice address
228 N Lynnhaven Rd
Suite 115
Virginia Beach, VA 23452-7514
Phone
(757) 498-4824
NPI assigned
Jan 15, 2009
Last updated
Jan 15, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556680 VA Primary

Addresses

Primary practice location

228 N Lynnhaven Rd
Suite 115
Virginia Beach, VA 23452-7514

Mailing address

228 N Lynnhaven Rd
Suite 115
Virginia Beach, VA 23452-7514
Phone (757) 498-4824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090306000024 VA Practitioner - Chiropractic 8628134228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Jarrett Chiropractic, PCGroup PAC ID 2365627866, 3 clinicians

Practice addresses (Care Compare)

537 N Great Neck Rd
Virginia Beach, VA 23454-4035
Phone (757) 463-0193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jarrett Chiropractic, PC Chiropractor CurrentSince Sep 1, 2016 Accepting new patients
Comber Physical Therapy, LLC PastSince Oct 20, 2003 Accepting new patients
Pinto Family Chiropractic, PLC Chiropractor PastSince Jan 1, 2001 Accepting new patients
Esprit Health Incorporated, LLC PastSince Dec 21, 2021 Accepting new patients
Tracy L M Sawyer Chiropractor Past Accepting new patients

Locations

537 N Great Neck Rd
Virginia Beach, VA 23454
Phone (757) 463-0193

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1649417304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 N LYNNHAVEN RD",
            "address_2": "SUITE 115",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527514",
            "telephone_number": "757-498-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 N LYNNHAVEN RD",
            "address_2": "SUITE 115",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527514",
            "telephone_number": "757-498-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "MICHELLE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.