Courtland Dennis Booker

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

RU733328 Issued in OH

Practice address

6168 Applegate LN
Columbus, OH 43213-3301

Phone

(614) 749-8290

NPI assigned

Jul 2, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1871339473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6168 APPLEGATE LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432133301",
            "telephone_number": "614-749-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6168 APPLEGATE LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432133301",
            "telephone_number": "614-749-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "COURTLAND",
        "middle_name": "DENNIS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "OH",
            "license": "RU733328",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OH",
            "license": "RU733328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha Lais Booher, D.C.
• Erin Booher, LPN
• Nicole Marie Book, M.D.
• Sheila Book
• Ashley Booker
• Micah Booker
• Shrree D. Booker, CDCA
• Teaira Marie Booker, LPN
• Brittany Julianna Boone, APRN
• Emily C Boone

• In Home Supportive Care Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.