Kimberly Dawn Booker

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4580 Mallard CT
Martinez, GA 30907-8873

Phone

(706) 854-1385

Fax

(706) 854-1385

NPI assigned

Dec 18, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1942363213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4580 MALLARD CT",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309078873",
            "telephone_number": "706-854-1385",
            "fax_number": "706-854-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 MALLARD CT",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309078873",
            "telephone_number": "706-854-1385",
            "fax_number": "706-854-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameo Blundstone
• Westin Bobadilla
• Edward H Boland, MD
• Linda Elizabeth Bolt, OTR/L
• Zaniya Bond
• Elizabeth Boswell
• Jason Michael Bouvier, CPHT
• Jennifer Bowen, MS
• A'Raya Bradley
• Donna Marie Bradley, CERTIFIED HAIR LOSS

• Case Manager/Care Coordinator in Martinez, GA
• Providers in Martinez, GA by specialty
• Case Manager/Care Coordinator in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.