Caitlin Isabel Booze, CNP
Individual provider Active NPI Family Nurse Practitioner · Lebanon, NH
NPI 1922531367 · NPPES record last updated Sep 6, 2024
Key facts
- NPI
- 1922531367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 065741-23 (NH)
- Practice address
- 1 Medical Center Dr
Lebanon, NH 03756-1000 - Phone
- (603) 650-5000
- NPI assigned
- Apr 4, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mary Hitchcock Memorial Hospital
Practice addresses (Care Compare)
100 Hitchcock Way
Manchester, NH 03104-4125
Phone (603) 695-2500
Hospital & facility affiliations
- Mary Hitchcock Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180516002283 | NH | Practitioner - Nurse Practitioner | 3870870454 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 065741-21 | NH | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current |
Accepting new patients | |
| Catholic Medical Center | Current |
Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current |
Accepting new patients | |
| Catholic Medical Center | Current |
Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current |
Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current |
Accepting new patients |
Locations
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931
100 Hitchcock Way
Manchester, NH 03104
Phone (603) 629-1870
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 065741-21 | NH | |
| Family Nurse Practitioner | 363LF0000X | 065741-23 | NH | Yes |
Addresses
Primary practice location
1 Medical Center Dr
Lebanon, NH 03756-1000
Mailing address
PO Box 810
Hanover, NH 03755-0810
Phone (603) 308-1472
Other practice location 1
41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-5100
Other practice location 2
100 McGregor St
Manchester, NH 03102
Phone (603) 669-0413
Other names
- Caitlin Isabel Connolly
Other providers in Lebanon, NH
- Haley Jean Bolger
- Brittney Suzanne Book
- Alisha Marie Booms
- Myles Dustin Boone
- Victoria Marie Booth
- Brad Tristan Boserup
- Baylee Michelle Boucher
- Emery Boudreau
- Julianne Flowers Boughton
- Erica S. Boulay
All providers in Lebanon, NH · Family Nurse Practitioner in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.