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TAMECO BOOTH
NPI 1104204395
Licensed Practical Nurse in Alton, IL

Active since May 08, 2015
2615 EDWARDS ST, ALTON, IL 62002(618) 462-2331(618) 462-7160 Get Directions Write a Review

NPPES record last updated: March 27, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tameco Booth NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAMECO BOOTH (NPI 1104204395) is an individual licensed practical nurse in Alton, Illinois, licensed in Illinois (043.117905) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1104204395
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameTAMECO BOOTH
Location Address2615 EDWARDS STAlton, IL 62002-3915
Mailing Address902 W Main StWest Frankfort, IL 62896-2210 · (618) 937-6483 · Fax (618) 937-1440
Phone(618) 462-2331
Fax(618) 462-7160
Sole ProprietorNo
Enumeration DateMay 8, 2015
Last NPPES UpdateMarch 27, 2018
✔ NPI 1104204395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in IL · 043.117905
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2615 EDWARDS ST, Alton, IL 62002
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELISSHA LENHARDT
Counselor (Mental Health)
2615 EDWARDS ST
ALTON, IL 62002
Madison County (618) 462-2331
JENNIFER TAPEN
Counselor (Mental Health)
2615 EDWARDS ST
ALTON, IL 62002
Madison County (618) 462-2331
EMILY PEMBROOK
Counselor (Mental Health)
2615 EDWARDS ST
ALTON, IL 62002
Madison County (618) 462-2331
JOSHUA LUPARDUS
Counselor
2615 EDWARDS ST
ALTON, IL 62002
Madison County (618) 462-2331
LAUREN LUMPKINS
Counselor
2615 EDWARDS ST
ALTON, IL 62002
Madison County (618) 462-2331
KATIE HOLLAND
Counselor (Mental Health)
2615 EDWARDS ST
ALTON, IL 62002
Madison County (618) 462-2331
SUSAN BURRIS
Counselor
2615 EDWARDS ST
ALTON, IL 62002
Madison County (618) 462-2331
LAKYA HILL MS,LPC
Counselor (Professional)
2615 EDWARDS ST
ALTON, IL 62002
Madison County (618) 462-2331

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tameco Booth's NPI number?

The NPI number for Tameco Booth is 1104204395. It was assigned to this individual provider in the NPPES registry on May 8, 2015.

Where is Tameco Booth located?

Tameco Booth practices at 2615 Edwards St, Alton, IL 62002. The listed phone number is (618) 462-2331.

What is Tameco Booth's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Tameco Booth was last updated on March 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.