Kristen Speak Booth, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT0000003578 Issued in TN

Practice address

200 2Ndstreet
Mountain Home, TN 37684

Phone

(423) 926-1171

NPI assigned

Jun 12, 2009

Last updated

Jun 12, 2009By 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

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": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244764800000",
    "number": "1679700033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E HOLSTON AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014612",
            "telephone_number": "423-926-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 2NDSTREET",
            "city": "MOUNTAIN HOME",
            "state": "TN",
            "postal_code": "37684",
            "telephone_number": "423-926-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "KRISTEN",
        "middle_name": "SPEAK",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-12",
        "last_updated": "2009-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "OT0000003578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew H Bloch, PSY.D.
• Nicole Cher Boatright, PHARMD
• Benny D Boggs Jr., RRT
• Harold Ray Bohlman III, OD
• Tawny Leigh Booher-Hale, ANP
• Tyra Dawn Boyd, LCSW
• Sherry Jo Brandt, FNP
• Madison Brashear
• Mary Frances Bray, P.T.
• Mitzi Breuninger, LMSW

• Occupational Therapist in Mountain Home, TN
• Providers in Mountain Home, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; 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.