Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Colleen Booth, PA-C

Individual provider Medical Physician Assistant · NPI 1972022135

Colleen Booth, PA-C is a Physician Assistant in Manchester, Connecticut. Qualified in 2017, 9 years ago. Licensed in Connecticut.

Years since qualifying
9
Licensed in
CT
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

71 Haynes St
Manchester, CT 06040-4131
Phone: (860) 646-1222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3964 (CT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 3964 (CT)

Record details

NPI number1972022135
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 19, 2017
Last updated in NPPESOctober 17, 2018
Mailing address104 Pitkin St, Manchester, CT 06040-4456

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

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