Amanda Le Booth, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2018024915 Issued in MO

Practice address

760 NW Blue Parkway
Lee's Summit, MO 64086-5713

Phone

(913) 297-7472

Fax

(816) 347-2657

NPI assigned

Jun 19, 2015

Last updated

Aug 14, 2024By 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 3

Addresses

Other names 1

• Amanda B. Le Former name

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Southern Illinois University School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vohra Wound Physicians of FL LLCGroup PAC ID 6406039882, 73 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Vohra Wound Physicians of FL, LLC

  • Family Medicine Physician
  • Miramar, FL
  • NPI 1407146707

  MO

  Medicare reassignment Care Compare group NPD
• Vohra Wound Physicians of FL, LLC

  • Family Medicine Physician
  • Conyers, GA
  • NPI 1598061293
  NPD

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1750763389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16801 HASKINS ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662217143",
            "telephone_number": "309-825-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 NW BLUE PARKWAY",
            "city": "LEE'S SUMMIT",
            "state": "MO",
            "postal_code": "640865713",
            "telephone_number": "913-297-7472",
            "fax_number": "816-347-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "AMANDA",
        "middle_name": "LE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-19",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "11018226A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0441255",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2018024915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "LE",
            "middle_name": "B.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danette Bonecutter, FNP-C
• Miranda Michelle Bonney, SLP
• Lisa Lynn Boone, RN
• Boost Physical Therapy & Sport Perforance
• Boost Sports Performance, LLC (Boost Physical Therapy & Sports Performance)
• Guy Boots, RVT
• Allison Mae Borden, OTR/L
• Nicole Bowen, NP-C
• Hannah Rose Bowers, PT, DPT
• Jaicey Bowers, RN, AG-ACNP, DNP

• Family Medicine Physician in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.