Individual provider Active NPI

Nina F Booth, APRN

  • Family Nurse Practitioner
  • Somerset, KY
National Provider Identifier
1871029181
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3011296 Issued in KY
Practice address
100 Parkway Dr
Somerset, KY 42503-3450
Phone
(606) 679-4389
NPI assigned
May 5, 2017
Last updated
May 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2017

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 3011296 KY Primary

Addresses

Primary practice location

100 Parkway Dr
Somerset, KY 42503-3450

Mailing address

100 Parkway Dr
Somerset, KY 42503-3450
Phone (606) 679-4389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20170920002501 KY Practitioner - Nurse Practitioner 6901170596 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Hospice of Lake Cumberland IncGroup PAC ID 9032153382, 3 clinicians

Practice addresses (Care Compare)

100 Pkwy Dr
Somerset, KY 42503-3450
Phone (606) 679-4389

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cumberland Physician Practices LLC CurrentSince Jul 30, 2017 Accepting new patients
Lake Cumberland Physician Practices LLC CurrentSince Jul 30, 2017 Accepting new patients
Lake Cumberland Physician Practices, LLC Current Accepting new patients
Hospice of Lake Cumberland, Inc. CurrentSince Feb 12, 2018 Accepting new patients

Locations

100 Parkway Dr
Somerset, KY 42503
Phone (606) 679-4389

30 Tower Cir
Somerset, KY 42503
Phone (606) 451-8644

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Organizations & group practices 4

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": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1871029181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARKWAY DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033450",
            "telephone_number": "606-679-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARKWAY DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033450",
            "telephone_number": "606-679-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "NINA",
        "middle_name": "F",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-05",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.