Jennifer Q Booth, CPM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

19060012 Issued in KS

Practice address

4 E Farmersville Rd
Ephrata, PA 17522-8510

Phone

(717) 847-7577

Fax

(717) 842-7912

NPI assigned

Jul 10, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1922650936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-108 LEOWAENA ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967972223",
            "telephone_number": "833-428-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 E FARMERSVILLE RD",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175228510",
            "telephone_number": "717-847-7577",
            "fax_number": "717-842-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "JENNIFER",
        "middle_name": "Q",
        "name_prefix": "Mrs.",
        "credential": "CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "PA",
            "license": "133490",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "KS",
            "license": "19060012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NARM",
            "identifier": "19060012",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Vanderpoel Blake, PA-C
• Julie Blankenmyer
• Gwendolyn K Blankenship, LCSW
• Laura Bonilla, PT
• Stephen J Bookwalter, CRNA
• Paul D Borish, MA, LPC
• Courtney Michelle Bowe
• Andrew Bowen
• April Bowen, RPA
• Lane Rae Bower, PA-C

• Midwife in Ephrata, PA
• Providers in Ephrata, PA by specialty
• Midwife in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.