CMS-1500 Box 24J / 33a • NPI
1043242852
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
364SP0809X (CMS 89)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Psychiatric — Mental Health, Adult
Box 32 Service Location & ZIP+4
2300 RAMSEY ST, VA MEDICAL CENTER, FAYETTEVILLE, NC, 28301
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1043242852 (BRIDGET KATHLEEN BOOTH, PhD PMHCNS-BC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1043242852 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | BRIDGET KATHLEEN BOOTH, PhD PMHCNS-BC |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Psychiatric — Mental Health, Adult NUCC Code: 364SP0809X (Clinical Nurse Specialist, Psych/Mental Health, Adult) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 2300 RAMSEY ST, VA MEDICAL CENTER, FAYETTEVILLE, NC, 28301 |
| Practice Telephone / Fax | Tel: (910) 488-2120 | Fax: (910) 822-7017 |
| Administrative Mailing Address | 96 ROGERS RD, LILLINGTON, NC, 27546-7305 |
| Enumeration & Last Sync | Enumerated: 2006-07-06 | CMS Record Updated: 2008-06-10 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in FAYETTEVILLE
🔒 Are you BRIDGET KATHLEEN BOOTH, PhD PMHCNS-BC? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
Plain-English Taxonomy & CMS Crosswalk (364SP0809X)
What Does Taxonomy Code 364SP0809X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 364SP0809X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Psychiatric — Mental Health, Adult"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BRIDGET KATHLEEN BOOTH, PhD PMHCNS-BC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
1041C0700X — Social Worker, ClinicalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical | State: NC | License: C004317 | Primary: Secondary |
364SP0809X — Clinical Nurse Specialist, Psych/Mental Health, AdultPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Psychiatric — Mental Health, Adult | State: NC | License: 193660 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.