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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACOB PAUL BOOTH
NPI 1386330074
Student in an Organized Health Care Education/Training Program in Albuquerque, NM

Active since April 14, 2023
1025 HERMOSA DR SE, ALBUQUERQUE, NM 87108(505) 633-8173 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 6, 2026, Apr 14, 2023 (2 updates tracked since 2023).

About Jacob Paul Booth NPPES

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

JACOB PAUL BOOTH (NPI 1386330074) is an individual student in an organized health care education/training program in Albuquerque, New Mexico and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1386330074
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB PAUL BOOTH
Location Address1025 HERMOSA DR SEAlbuquerque, NM 87108-4312
Mailing AddressPo Box 8069Albuquerque, NM 87198-8069 · (505) 633-8173
Phone(505) 633-8173
Sole ProprietorYes
Enumeration DateApril 14, 2023
Last NPPES UpdateOctober 6, 20262 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1386330074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1025 HERMOSA DR SE, Albuquerque, NM 87108
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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.

MS. MCKAYLA ALEXIS TSABETSAYE
Student in an Organized Health Care Education/Training Program
1025 HERMOSA DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 663-6645
MS. HOLLIS B. CHOATE LMSW
Social Worker
1025 HERMOSA DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 237-0061
SUSAN M BROWER FPPSW
Peer Specialist
1025 HERMOSA DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 237-0061
YOUNHEE BURNINGHAM
Social Worker
1025 HERMOSA DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 237-0061
MRS. CHELSEA DIANE NICHOLS
Social Worker (Clinical)
1025 HERMOSA DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 237-0061
MICHELE COLEMAN PHD, LMFT
Psychologist (Counseling)
1025 HERMOSA DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 237-0061
ANGEL STEWART
Counselor (Mental Health)
1025 HERMOSA DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 237-0061
INNER GUIDANCE, LC
Community/Behavioral Health
1025 HERMOSA DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 237-0061

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 Jacob Booth's NPI number?

The NPI number for Jacob Booth is 1386330074. It was assigned to this individual provider in the NPPES registry on April 14, 2023.

Where is Jacob Booth located?

Jacob Booth practices at 1025 Hermosa Dr SE, Albuquerque, NM 87108. The listed phone number is (505) 633-8173.

What is Jacob Booth's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacob Booth was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.