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Deactivated NPI 1902505605 Deactivated / Inactive NPI Female Practitioner

Kiara L Booker

Prosthetist • Elgin, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kiara Booker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 01, 2023
NPI Deactivation Date August 16, 2023
Total Practice Duration ~1 Years of Practice (2023 – 2023)

Professional Overview & Biography Verified Profile Summary

Kiara Booker was a registered Prosthetist practicing in Elgin, IL. Throughout an active medical career spanning 1 years, Kiara Booker provided care at the practice location at 1683 COLLEGE GREEN DR until profile deactivation on 2023-08-16.

Practice Location & Contact Primary Location

Practice Address

1683 College Green Dr

Elgin, IL 601236857

Telephone 2246272247

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Elgin, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Elgin, IL (66 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
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NPI Profile Deactivated August 16, 2023

Record deactivated on August 16, 2023

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NPI Profile Deactivated August 15, 2023

Record deactivated on August 15, 2023

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Updated Practice Location April 03, 2023

Registered at 555 E 33RD PL APT 903, CHICAGO, IL 606164131 (Tel: 2246272247)

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Updated Business Mailing Address April 03, 2023

Registered at 555 E 33RD PL APT 903, CHICAGO, IL 606164131 (Tel: 2246272247)

NPI Profile Active March 01, 2023

NPI status registered as active in NPPES database

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Updated Practice Location March 01, 2023

Registered at 1683 COLLEGE GREEN DR, ELGIN, IL 601236857 (Tel: 2246272247)

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Updated Business Mailing Address March 01, 2023

Registered at 1683 COLLEGE GREEN DR, ELGIN, IL 601236857 (Tel: 2246272247)

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Provider Name / Credentials Updated March 01, 2023

Recorded as KIARA BOOKER

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2023

Prosthetist

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Initial NPI Registration & Enumeration March 01, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902505605
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 01, 2023
Last Update: March 01, 2023
Deactivation Date: August 16, 2023

Mailing Address

1683 College Green Dr

Elgin, IL 601236857

Phone: 2246272247

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.