Individual provider Active NPI

Cheryl Ann Booth, CRNP

  • Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1730658964
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-127130 Issued in AL
Practice address
3719 Dauphin Street
Building 2
Mobile, AL 36608
Phone
(251) 460-5461
Fax
(251) 340-6954
NPI assigned
Nov 16, 2018
Last updated
Aug 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-127130 AL Primary
Acute Care Nurse Practitioner 363LA2100X 1-127130 AL
Wound Care Registered Nurse 163WW0000X 1-127130 AL

Addresses

Primary practice location

3719 Dauphin Street
Building 2
Mobile, AL 36608

Mailing address

PO Box 8246
Mobile, AL 36689-0246
Phone (251) 460-5461

Other names 1

  • Cheryl Ann Savin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20190820004197 AL Practitioner - Nurse Practitioner 4587992185 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Russellville Hospital Inc.Group PAC ID 3476878489, 66 clinicians
Springhill Hospitals IncGroup PAC ID 7618989658, 2 clinicians

Practice addresses (Care Compare)

13150 Hwy 43
Suite 10
Russellville, AL 35653-4566
Phone (256) 332-5901

3719 Dauphin St
Mobile, AL 36608-1753
Phone (251) 460-5461

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-127130ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Springhill Hospitals, Inc CurrentSince Jun 1, 2019 Accepting new patients
Russellville Hospital Inc CurrentSince Mar 1, 2025 Accepting new patients
Russellville Hospital Inc Current Accepting new patients
Springhill Hospitals, Inc CurrentSince Jun 1, 2019 Accepting new patients
Dermaccel Nurse Practitioner CurrentSince Feb 1, 2024 Accepting new patients
Dermaccel PastSince Aug 17, 2025 Accepting new patients

Locations

3719 Dauphin St
Mobile, AL 36608
Phone (251) 342-3000

3719 Dauphin St
Bldg 2
Mobile, AL 36608
Phone (251) 460-5461

13150 Highway 43
Ste 10
Russellville, AL 35653
Phone (256) 331-2092

15225 Highway 43
Ste I
Russellville, AL 35653
Phone (256) 331-2700

119 Watterson Pkwy
Trussville, AL 35173
Phone (205) 655-3226

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1730658964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8246",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366890246",
            "telephone_number": "251-460-5461",
            "fax_number": "251-340-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 DAUPHIN STREET",
            "address_2": "BUILDING 2",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36608",
            "telephone_number": "251-460-5461",
            "fax_number": "251-340-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-16",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-127130",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-127130",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "AL",
            "license": "1-127130",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "SAVIN",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.