Dorothy L Booker, RD,LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

D1254 Issued in MS

Practice address

785 Ohio Ave
Suite 2F
Clarksdale, MS 38614-6217

Phone

(662) 621-5081

Fax

(662) 621-5083

NPI assigned

Sep 2, 2009

Last updated

Sep 2, 2009By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Clarksdale Hma

  dba Northwest Mississippi Regional Medical Center

  • Gastroenterology Physician
  • Clarksdale, MS
  • NPI 1508984436
  NPD (past)
• Clarksdale Hma LLC

  dba Northwest Mississippi Regional Medical Center

  • General Acute Care Hospital
  • Clarksdale, MS
  • NPI 1376584110
  NPD (past)
• Clarksdale Hma LLC

  dba Clarksdale Phys Serv Anesthesia CRNA

  • Anesthesiology Physician
  • Clarksdale, MS
  • NPI 1386679744
  NPD (past)

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251849600000",
    "number": "1881827186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 OHIO AVE",
            "address_2": "SUITE 2F",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386146217",
            "telephone_number": "662-621-5081",
            "fax_number": "662-621-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 OHIO AVE",
            "address_2": "SUITE 2F",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386146217",
            "telephone_number": "662-621-5081",
            "fax_number": "662-621-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "DOROTHY",
        "middle_name": "L",
        "credential": "RD,LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MS",
            "license": "D1254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• G D Berryhill Jr., M.D.
• Bethesda Resources Inc (Bethesda Cancer Center)
• Shakira Denise Birge
• Queen Blue
• Vetrice Bolden, CSS
• William Lloyd Booker, MD
• Rachel Jennifer Bouer
• Kathryn Morrison Boykin, MS, CCC-SLP
• Chad Jeremy Braddock, PHARMD
• Lashonda Lashay Bradley, FNP-C

• Registered Dietitian in Clarksdale, MS
• Providers in Clarksdale, MS by specialty
• Registered Dietitian in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.