1. Home
  2. Directory
  3. New York
  4. Watertown
  5. Licensed Practical Nurse
  6. NPI Profile

KATHY BOOTH LPN
NPI 1255656252
Licensed Practical Nurse in Watertown, NY

Active since April 01, 2010
21107 COFFEEN ST., WATERTOWN, NY 13601(315) 782-9285(315) 782-9289 Get Directions Write a Review

NPPES record last updated: April 1, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kathy Booth Lpn NPPES

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

KATHY BOOTH LPN (NPI 1255656252) is an individual licensed practical nurse in Watertown, New York, licensed in New York (257538-1) and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1255656252
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKATHY BOOTHCredential: LPN
Location Address21107 COFFEEN ST.Watertown, NY 13601
Mailing AddressPo Box 183Watertown, NY 13601-0183 · (315) 782-9285 · Fax (315) 782-9289
Phone(315) 782-9285
Fax(315) 782-9289
Sole ProprietorNo
Enumeration DateApril 1, 2010
✔ NPI 1255656252 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 NY · 257538-1
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.
21107 COFFEEN ST., Watertown, NY 13601
Open in Google Maps ↗

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 Kathy Booth's NPI number?

The NPI number for Kathy Booth is 1255656252. It was assigned to this individual provider in the NPPES registry on April 1, 2010.

Where is Kathy Booth located?

Kathy Booth practices at 21107 Coffeen St., Watertown, NY 13601. The listed phone number is (315) 782-9285.

What is Kathy 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 Kathy Booth was last updated on April 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.