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

STEPHANIE BOOTH DO
NPI 1891574208
Student in an Organized Health Care Education/Training Program in Dayton, OH

Active since September 25, 2023PECOS Enrolled
30 E APPLE ST STE 6258, DAYTON, OH 45409(937) 208-8000 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2025, May 9, 2025 (2 updates tracked since 2025).

About Stephanie Booth Do NPPES

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

STEPHANIE BOOTH DO (NPI 1891574208) is an individual student in an organized health care education/training program in Dayton, Ohio, licensed in Ohio (58.035082) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891574208
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSTEPHANIE BOOTHCredential: DO
Location Address30 E APPLE ST STE 6258Dayton, OH 45409-2939
Mailing Address185 S Orange AveNewark, NJ 07103-2757
Sole ProprietorNo
Enumeration DateSeptember 25, 2023
Last NPPES UpdateJune 17, 20262 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
NPI 1891574208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in OH · 58.035082
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.
30 E APPLE ST STE 6258, Dayton, OH 45409

Other Names 1

Former Name (1)Stephanie Sanchez

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stephanie Booth Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Student in an Organized Health Care Education/Training Program
30 E APPLE ST STE 6258
DAYTON, OH 45409
Student in an Organized Health Care Education/Training Program
30 E APPLE ST STE 6258
DAYTON, OH 45409
Student in an Organized Health Care Education/Training Program
30 E APPLE ST STE 6258
DAYTON, OH 45409
Student in an Organized Health Care Education/Training Program
30 E APPLE ST STE 6258
DAYTON, OH 45409
Student in an Organized Health Care Education/Training Program
30 E APPLE ST STE 6258
DAYTON, OH 45409
Surgery
30 E APPLE ST STE 6258
DAYTON, OH 45409
Surgery
30 E APPLE ST STE 6258
DAYTON, OH 45409
Student in an Organized Health Care Education/Training Program
30 E APPLE ST STE 6258
DAYTON, OH 45409

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 Stephanie Booth's NPI number?

The NPI number for Stephanie Booth is 1891574208. It was assigned to this individual provider in the NPPES registry on September 25, 2023. The provider is also known as Stephanie Sanchez.

Where is Stephanie Booth located?

Stephanie Booth practices at 30 E Apple St Ste 6258, Dayton, OH 45409. The listed phone number is (937) 208-8000.

What is Stephanie Booth's specialty?

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

Is Stephanie Booth enrolled in Medicare?

Yes. Stephanie Booth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Booth was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 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.