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MS. KATHLEEN MARIE BOOTH RNC, NP
NPI 1114057510
Nurse Practitioner - Family in St Paul, MN

Active since March 06, 2007
2115 SUMMIT AVE, STUDENT HEALTH SERVICES # 5056, ST PAUL, MN 55105(651) 962-6750(651) 962-6751 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kathleen Marie Booth Rnc, Np NPPES

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

MS. KATHLEEN MARIE BOOTH RNC, NP (NPI 1114057510) is an individual family provider in St Paul, Minnesota, licensed in Minnesota (R1226809) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1114057510
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KATHLEEN MARIE BOOTHCredential: RNC, NP
Location Address2115 SUMMIT AVE, STUDENT HEALTH SERVICES # 5056St Paul, MN 55105
Mailing Address7 Red Pine RdNorth Oaks, MN 55127-2030 · (651) 490-7863 · Fax (651) 490-7863
Phone(651) 962-6750
Fax(651) 962-6751
Sole ProprietorNo
Enumeration DateMarch 6, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114057510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MN · R1226809
2115 SUMMIT AVE, St Paul, MN 55105
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINS55808MN

Other Providers at the Same Location NPPES 12

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

NATALIE DAWN NACHTSHEIM
Social Worker
2115 SUMMIT AVE
SAINT PAUL, MN 55105
Ramsey County (612) 405-8381
MADONNA KATHRYN MCDERMOTT CNP
Nurse Practitioner (Adult Health)
2115 SUMMIT AVE, MAIL BOX 5056
SAINT PAUL, MN 55105
Ramsey County (651) 962-6750
MS. GAIL ANN CONZEMIUS MA RNC NP
Nurse Practitioner (Adult Health)
2115 SUMMIT AVE, #5056
SAINT PAUL, MN 55105
Ramsey County (651) 962-6750
DR. SARAH K ARMSTRONG MBA PSYD LP
Psychologist (Clinical)
2115 SUMMIT AVE, MAIL 4040
SAINT PAUL, MN 55105
Ramsey County (651) 962-6780
ROBERT ZELESNIKAR ATC
Specialist/Technologist (Athletic Trainer)
2115 SUMMIT AVE, ARC 117E
SAINT PAUL, MN 55105
Ramsey County (612) 703-5142
DR. KINGSLEY CHIGBU PH.D. L.I.C.S.W
Social Worker (Clinical)
2115 SUMMIT AVE
SAINT PAUL, MN 55105
Ramsey County (612) 940-9363
AMY GILBERTSON ATC
Specialist/Technologist (Athletic Trainer)
2115 SUMMIT AVE, STE 5003
SAINT PAUL, MN 55105
Ramsey County (952) 300-0697
ASHLYN WEEK
Physical Medicine & Rehabilitation (Sports Medicine)
2115 SUMMIT AVE
SAINT PAUL, MN 55105
Ramsey County (612) 396-7894

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 Kathleen Booth's NPI number?

The NPI number for Kathleen Booth is 1114057510. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Kathleen Booth located?

Kathleen Booth practices at 2115 Summit Ave Student Health Services # 5056, St Paul, MN 55105. The listed phone number is (651) 962-6750.

What is Kathleen Booth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kathleen Booth was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.