Cynthia L. Booth, RN, MS, PCNS-BC

Primary specialty

Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X

License

209-007230 Issued in IL

Practice address

1801 W Taylor St # 2E
Children and Adolescent Center
Chicago, IL 60612-4319

Phone

(312) 996-7202

Fax

(312) 413-3445

NPI assigned

Sep 3, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Registered Nurse

State licenses

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1679721633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 W TAYLOR ST RM 808",
            "address_2": "CHILDREN'S HABILITATION CLINIC",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127246",
            "telephone_number": "312-996-1376",
            "fax_number": "312-413-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W TAYLOR ST # 2E",
            "address_2": "CHILDREN AND ADOLESCENT CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124319",
            "telephone_number": "312-996-7202",
            "fax_number": "312-413-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "CYNTHIA",
        "middle_name": "L.",
        "credential": "RN, MS, PCNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "IL",
            "license": "041-227271",
            "primary": false
        },
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "IL",
            "license": "209-007230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vera Boone, PA
• Yavonna Boone
• Michelle Boongaling
• Scott Boop, MD
• Magdalene Marie Boorazanes, AU.D
• Kathleen Grace Booth
• Phyllis Barnes Booth, MA, LMFT, LCPC.
• Tyler Booth
• Ahad Bootwala, MD, MPH
• Derek Earl Booz, DC

• Pediatric Clinical Nurse Specialist in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatric Clinical Nurse Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.