Stacy Lynette Booth, MA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Practice address

50 W Park Ave
Columbus, OH 43222-1342

Phone

(614) 505-3126

Fax

(614) 431-4601

NPI assigned

Sep 8, 2025

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

Credentials

Master of Arts

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1861373953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W PARK AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221342",
            "telephone_number": "614-505-3126",
            "fax_number": "614-431-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W PARK AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221342",
            "telephone_number": "614-505-3126",
            "fax_number": "614-431-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "STACY",
        "middle_name": "LYNETTE",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Marie Booth, FNP
• Maisy Louise Booth, DO
• Michael Booth, MD
• Pierrea Booth
• Ruby Booth, LISW
• Tony D. Booth
• Ciji Lacole Boothe, NP-C
• Erika L Boothman, M.D.
• Edward Tharpe Bope, MD
• Brianne Boraby

• Clinic/Center in Columbus, OH
• Providers in Columbus, OH by specialty
• Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.