Individual provider Active NPI

Cherie Lee Booker, FNP

  • Family Nurse Practitioner
  • Redding, CA
National Provider Identifier
1740309301
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP9069 Issued in CA
Practice address
3330 Churn Creek Rd
D1
Redding, CA 96002-2532
Phone
(530) 222-9643
Fax
(530) 222-9602
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP9069 CA Primary

Addresses

Primary practice location

3330 Churn Creek Rd
D1
Redding, CA 96002-2532

Mailing address

3330 Churn Creek Rd
D1
Redding, CA 96002-2532
Phone (530) 222-9643

Other identifiers 2

IdentifierTypeStateIssuer
P00174094OtherCARAILROAD MEDICARE
RN4337340MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20041202000840 CA Practitioner - Nurse Practitioner 6002872942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Stanford University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3330 Churn Creek Rd
D1
Redding, CA 96002-2532

Hospital & facility affiliations

  • Assured Home Health Home health agency, Redding, CA, CCN 058117
  • Oroville Hospital Hospital, Oroville, CA, CCN 050030
  • Mercy Medical Center Redding Hospital, Redding, CA, CCN 050280
  • Trinity Hospital Hospital, Weaverville, CA, CCN 051315
  • St Elizabeth Community Hospital Hospital, Red Bluff, CA, CCN 050042
  • Shasta Regional Medical Center Hospital, Redding, CA, CCN 050764

Merit-based Incentive Payment System (MIPS)

Final score
25.32 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
84.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9609CAMDAddiction (Substance Use Disorder) Counselor
NP9069CAMDFamily Nurse Practitioner

Organizations & group practices 1

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.

Hospital & facility affiliations 7

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1740309301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 CHURN CREEK RD",
            "address_2": "D1",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022532",
            "telephone_number": "530-222-9643",
            "fax_number": "530-222-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 CHURN CREEK RD",
            "address_2": "D1",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022532",
            "telephone_number": "530-222-9643",
            "fax_number": "530-222-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "CHERIE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP9069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00174094",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN4337340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.