Individual provider
CARRIE JEAN BOOTS, N.P.
CMS NPPES lists CARRIE JEAN BOOTS as an individual provider record with NPI 1003012352. The current record reports a primary practice location in FORT WAYNE, IN and primary taxonomy code 363LF0000X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location7910 W JEFFERSON BLVD STE 108FORT WAYNE, IN 468044159
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
363L00000XAdditional reported taxonomy363LA2200XAdditional reported taxonomy363LF0000XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- June 25, 2007
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.