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ELIJAH BOOTHE FNP-C
NPI 1568824019
Nurse Practitioner - Family in Harrisonburg, LA

Active since March 23, 2016
499 OLD COLUMBIA RD, HARRISONBURG, LA 71340(318) 744-2121 Get Directions Write a Review

NPPES record last updated: March 23, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elijah Boothe Fnp-c NPPES

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

ELIJAH BOOTHE FNP-C (NPI 1568824019) is an individual family provider in Harrisonburg, Louisiana, licensed in Louisiana (AP07815) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1568824019
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameELIJAH BOOTHECredential: FNP-C
Location Address499 OLD COLUMBIA RDHarrisonburg, LA 71340-3001
Mailing Address192 Bastille Ln, Suite 200Ruston, LA 71270-7149 · (318) 475-0779
Phone(318) 744-2121
Sole ProprietorNo
Enumeration DateMarch 23, 2016
✔ NPI 1568824019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in LA · AP07815
Also ListedRegistered NurseTaxonomy 163W00000X · License RN132128 (LA)
499 OLD COLUMBIA RD, Harrisonburg, LA 71340
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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 Elijah Boothe's NPI number?

The NPI number for Elijah Boothe is 1568824019. It was assigned to this individual provider in the NPPES registry on March 23, 2016.

Where is Elijah Boothe located?

Elijah Boothe practices at 499 Old Columbia Rd, Harrisonburg, LA 71340. The listed phone number is (318) 744-2121.

What is Elijah Boothe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Elijah Boothe was last updated on March 23, 2016. 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.