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

Active since April 14, 2023
120 DARTMOUTH DR SE APT D, ALBUQUERQUE, NM 87106(505) 333-9042 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 Address120 DARTMOUTH DR SE APT DAlbuquerque, NM 87106-2261
Mailing Address120 Dartmouth Dr Se Apt DAlbuquerque, NM 87106-2261 · (505) 333-9042
Phone(505) 333-9042
Sole ProprietorYes
Enumeration DateApril 14, 2023
NPPES CertifiedApril 14, 2023
✔ 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.
120 DARTMOUTH DR SE APT D, Albuquerque, NM 87106
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Other Providers at the Same Location NPPES 14

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

LEIGH A CHAVEZ LCSW
Social Worker (Clinical)
120 DARTMOUTH DR SE APT D
ALBUQUERQUE, NM 87106
Bernalillo County (505) 920-6927
MAGDALENA MARQUEZ LCSW
Social Worker (Clinical)
120 DARTMOUTH DR SE APT D
ALBUQUERQUE, NM 87106
Bernalillo County (505) 750-0566
MARLIN SANCHEZ
Social Worker
120 DARTMOUTH DR SE APT D
ALBUQUERQUE, NM 87106
Bernalillo County (505) 333-9042
MARIAH HARLEY WHEIR LCSW
Social Worker (Clinical)
120 DARTMOUTH DR SE APT D
ALBUQUERQUE, NM 87106
Bernalillo County (505) 460-2654
ANNA MARIA CRUZ LMSW
Social Worker
120 DARTMOUTH DR SE APT D
ALBUQUERQUE, NM 87106
Bernalillo County (505) 460-2654
MARY ELIZABETH KOPSOVICH LMSW
Social Worker
120 DARTMOUTH DR SE APT D
ALBUQUERQUE, NM 87106
Bernalillo County (505) 333-9042
ERIN NICOLE SCHWIND
Student in an Organized Health Care Education/Training Program
120 DARTMOUTH DR SE APT D
ALBUQUERQUE, NM 87106
Bernalillo County (505) 750-0566
VIRGINIA YOUNGBLOOD DAMRON MSW
Student in an Organized Health Care Education/Training Program
120 DARTMOUTH DR SE APT D
ALBUQUERQUE, NM 87106
Bernalillo County (505) 750-0566

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 120 Dartmouth Dr SE Apt D, Albuquerque, NM 87106. The listed phone number is (505) 333-9042.

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 April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.