MRS. BRENDA GALVIN BOOTH NP
NPI 1255417838
Nurse Practitioner in Fayetteville, NC

Q: What is Brenda Booth's NPI number?

The NPI number for Brenda Booth is 1255417838. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Q: What is Brenda Booth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Brenda Booth was last updated on June 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since October 27, 2006

1248 FORT BRAGG RD, FAYETTEVILLE, NC 28305(910) 323-0334(888) 391-5874 Get Directions Write a Review

NPPES record last updated: June 19, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mrs. Brenda Galvin Booth Np NPPES

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

MRS. BRENDA GALVIN BOOTH NP (NPI 1255417838) is an individual nurse practitioner in Fayetteville, North Carolina, licensed in North Carolina (5000596) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1255417838

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. BRENDA GALVIN BOOTHCredential: NP

Location Address1248 FORT BRAGG RDFayetteville, NC 28305-4981

Mailing Address112 Parkview AveFayetteville, NC 28305-4908 · (910) 323-0334 · Fax (888) 391-5874

Phone(910) 323-0334

Fax(888) 391-5874

Sole ProprietorNo

Enumeration DateOctober 27, 2006

Last NPPES UpdateJune 19, 2012

✔ NPI 1255417838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 5000596

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 2005003026 (NC)

1248 FORT BRAGG RD, Fayetteville, NC 28305

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Other Identifiers 1

Other2005003026MD · American Nurses Credentialing Center

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.

DR. ROBERT WILLIAM TWADDELL D.C.

Chiropractor

1248 FORT BRAGG RD
FAYETTEVILLE, NC 28305

Cumberland County (910) 486-9500

MS. OLIVIA JOY AYRE

Physician Assistant

1248 FORT BRAGG RD
FAYETTEVILLE, NC 28305

Cumberland County (910) 486-6818

VILLAGE FAMILY CARE CENTER PA

Family Medicine

1248 FORT BRAGG RD, SUITE 200
FAYETTEVILLE, NC 28305

Cumberland County (910) 486-6818

MR. JOHNATHON RAYMOND RUSH LCSW

Social Worker (Clinical)

1248 FORT BRAGG RD
FAYETTEVILLE, NC 28305

Cumberland County (910) 759-4852

DAVID R PARKER MD

Family Medicine

1248 FORT BRAGG RD, SUITE 200
FAYETTEVILLE, NC 28305

Cumberland County (910) 486-6818

CHRISTINE OSTERKAMP MS, RD, LD

Dietitian, Registered

1248 FORT BRAGG RD
FAYETTEVILLE, NC 28305

Cumberland County (910) 978-5401

ROBERT TWADDELL

Durable Medical Equipment & Medical Supplies

1248 FORT BRAGG RD
FAYETTEVILLE, NC 28305

Cumberland County (910) 486-9511

DR. GEORGE CONSTANTINE PANTELAKOS MD

Family Medicine

1248 FORT BRAGG RD
FAYETTEVILLE, NC 28305

Cumberland County (910) 323-0334

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 Brenda Booth's NPI number?

The NPI number for Brenda Booth is 1255417838. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Brenda Booth located?

Brenda Booth practices at 1248 Fort Bragg Rd, Fayetteville, NC 28305. The listed phone number is (910) 323-0334.

What is Brenda Booth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Brenda Booth was last updated on June 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.