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

Cozzette K Booker, PMHNP-BC, AGNP-C

Individual provider Adult Health Nurse Practitioner · NPI 1831575026

Cozzette K Booker, PMHNP-BC, AGNP-C is a Nurse Practitioner in Salem, Virginia. Graduated from University of Cincinnati College of Medicine in 2015, 11 years ago. Accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
11
Trained at
University of Cincinnati College of Medicine
Licensed in
VA
In the registry since
2015
Specialties on file
3
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

1970 Roanoke Blvd Primary Care Clinic 1
Salem, VA 24153-6404
Phone: (540) 982-2463
Fax: (540) 224-1904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0024173569 (VA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 0024173569 (VA)
Registered Nurse Taxonomy 163W00000X · Licence 0001208365 (VA)

Record details

NPI number1831575026
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC , AGNP-C
Sole proprietorNo
NPI enumeratedAugust 11, 2015
Last updated in NPPESApril 6, 2023
Certification dateApril 6, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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