NPI age
17 years
Enumerated 2008-07-10
● Active
Type 1 · Individual
Dana Marie Booth, APRN
Booth is 1 of 6 nurse practitioner providers in Jbsa Lackland and 1 of 982 in Texas.
Primary specialty
Nurse Practitioner
Plus 2 subspecialties
Licensed in
TX, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-10-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 982 active nurse practitioner providers in Texas.
NPI age
17 years
≈ at median (16 yr)
State licenses
2 states
Top 94% — 5% of peers are multi-state
Subspecialties
0
21% of peers hold subspecialties
NPI lifetime · 2008 → 2026
2008-07Enumerated in NPPES
2008
2026
Where they practice
Practice location
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 782365638
Mailing address
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 782365638
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 10024951000 | |
| 05 (FL) | 101721100 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 307 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.