MS. AUDREY BOOTHE MSE
NPI 1497129878
Specialist in Brooklyn, NY

Active since November 22, 2015
1384 E 105TH ST, BROOKLYN, NY 11236(718) 795-7002 Get Directions Write a Review

NPPES record last updated: November 22, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ms. Audrey Boothe Mse NPPES

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

MS. AUDREY BOOTHE MSE (NPI 1497129878) is an individual specialist in Brooklyn, New York and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1497129878
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMS. AUDREY BOOTHECredential: MSE
Location Address1384 E 105TH STBrooklyn, NY 11236-4606
Mailing Address1384 E 105th StBrooklyn, NY 11236-4606 · (718) 795-7002
Sole ProprietorYes
Enumeration DateNovember 22, 2015
NPI 1497129878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1384 E 105TH ST, Brooklyn, NY 11236

Other Names 1

Other Name (5)Audrey Jackson Mse

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 Audrey Boothe's NPI number?

The NPI number for Audrey Boothe is 1497129878. It was assigned to this individual provider in the NPPES registry on November 22, 2015. The provider is also known as Audrey Jackson Mse.

Where is Audrey Boothe located?

Audrey Boothe practices at 1384 E 105th St, Brooklyn, NY 11236. The listed phone number is (718) 795-7002.

What is Audrey Boothe's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Audrey Boothe was last updated on November 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.