Active NPIIndividual provider

Kathy L Boothby, APRN

Nurse Practitioner, Adult Health in South Portland, Maine

NPI Number1427032432
Practice location
54 Atlantic Pl, Beacon Hospice/Amedisys, South Portland, ME 04106-2316
Fax
—
Last updated
February 27, 2017

Kathy L Boothby is a Nurse Practitioner, Adult Health based in South Portland, ME. Kathy L Boothby practices in South Portland, ME and has the professional credentials of APRN. The NPI Number for Kathy L Boothby is 1427032432 and holds a License No. 036390-23 (NH). The current practice location address for Kathy L Boothby is 54 Atlantic Pl, Beacon Hospice/Amedisys, South Portland, ME 04106-2316 and can be reached out via phone at 207-772-0929.

Provider Profile Details

NPI Number
1427032432
Provider Name
Kathy L Boothby
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
54 Atlantic Pl, Beacon Hospice/Amedisys, South Portland, ME 04106-2316
Phone Number
207-772-0929
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Provider Enumeration Date
December 2, 2005
Last Update Date
February 27, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
54 Atlantic Pl
Beacon Hospice/Amedisys
South Portland, ME 04106-2316
State
Maine
Zip
04106-2316
Phone Number
207-772-0929
South Portland, ME 04106Get directions →

Provider Business Mailing Address Details

Address
54 Atlantic Pl
Beacon Hospice/Amedisys
South Portland, ME 04106-2316
City
South Portland
State
ME
Zip
04106-2316
Phone Number
207-772-0929

License Information

License Number (1)
036390-23
License State (1)
NH
Taxonomy (1)
Nurse Practitioner, Adult Health · 363LA2200X
License Number (2)
CNP81113
License State (2)
ME
Taxonomy (2)
Nurse Practitioner, Adult Health · 363LA2200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Nurse Practitioner, Adult Health providers near South Portland, ME

View all Nurse Practitioner, Adult Health providers in South Portland →

Frequently Asked Questions

What is the NPI number of Kathy L Boothby, APRN?

The NPI number of Kathy L Boothby, APRN is 1427032432. It was assigned on December 2, 2005 and is currently active in the NPPES registry.

What is the specialty of Kathy L Boothby, APRN?

Kathy L Boothby, APRN is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in NH under license number 036390-23.

Where does Kathy L Boothby, APRN practice?

The practice location is 54 Atlantic Pl, Beacon Hospice/Amedisys, South Portland, ME 04106-2316. The office can be reached at 207-772-0929 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427032432 directly on the NPPES registry website.

Browse related providers