Janice Carolyn Boozer, RN ANP MSN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

635806 Issued in TX

Practice address

7100 Oakmont Blvd
Ste 101 Barbara Birdwell MD PA
Fort Worth, TX 76132

Phone

(817) 370-0400

Fax

(817) 370-0448

NPI assigned

Mar 14, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199923200000",
    "number": "1982672085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 OAKMONT BLVD",
            "address_2": "STE 101 BARBARA BIRDWELL MD PA",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324627",
            "telephone_number": "817-370-0400",
            "fax_number": "817-370-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 OAKMONT BLVD",
            "address_2": "STE 101 BARBARA BIRDWELL MD PA",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76132",
            "telephone_number": "817-370-0400",
            "fax_number": "817-370-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOZER",
        "first_name": "JANICE",
        "middle_name": "CAROLYN",
        "name_prefix": "Mrs.",
        "credential": "RN ANP MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "635806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167025901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hilary Park Booth, NP
• L. Michelle Booth, M.D.
• Michael H Boothby, M.D.
• Ethan Boothe, MD
• Jimmie Floyd Booze
• Larry Boozer
• Kelly V Bora, MD
• Nelson Borchardt, DPT
• Taryn Borchardt, M.S., CCC-SLP
• Brian Bordelon, DO

• All providers in Fort Worth, TX
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.