Shimeca N Booth, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN.114708-MED Issued in OH

Practice address

2644 Lakeview Ave
Dayton, OH 45417-3642

Phone

(937) 559-2985

Fax

(937) 262-7635

NPI assigned

May 30, 2007

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Heavenly Hands 4 You Home Health Agency, LLC

  • Home Health Agency
  • Dayton, OH
  • NPI 1558595173
  NPD (past) Authorized official

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266451200000",
    "number": "1811198658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 LAKEVIEW AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173642",
            "telephone_number": "937-559-2985",
            "fax_number": "937-262-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2644 LAKEVIEW AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173642",
            "telephone_number": "937-559-2985",
            "fax_number": "937-262-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "SHIMECA",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2010-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.114708-MED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Kay Boone, CPNP
• Kymberley Elayne Boone
• Madeline Boone
• Stacey R Boone
• Branyan Ann Booth, M.D.
• Stephanie Booth, DO
• Deann M Bopp, RNC
• Aimee Borchers
• Samia W Borchers, MD
• Stephen Bordenkircher, LSW

• Licensed Practical Nurse in Dayton, OH
• Providers in Dayton, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.