Tara Deneene Boothe , LPN
Licensed Practical Nurse • Rochester, NY
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, Tara Boothe has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Tara Boothe, LPN was a registered Licensed Practical Nurse practicing in Rochester, NY. Throughout an active medical career spanning 4 years, Tara Boothe provided care at the practice location at 39 LENOX ST until profile deactivation on 2022-08-19.
Practice Location & Contact Primary Location
39 Lenox St
Rochester, NY 146113523
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Rochester, NY
Practicing in Rochester, NY (23738 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on August 19, 2022
NPI status registered as active in NPPES database
Registered at 39 LENOX ST, ROCHESTER, NY 146113523 (Tel: 5852858600)
Registered at 39 LENOX ST, ROCHESTER, NY 146113523 (Tel: 5852858600)
Recorded as TARA BOOTHE, LPN
Licensed Practical Nurse (License #320440 in NY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
39 Lenox St
Rochester, NY 146113523
Phone: 5852858600
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