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

Danielle Leigh Booth, PA-C

Individual provider Physician Assistant · NPI 1780247429

Danielle Leigh Booth, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 2020, 6 years ago. Practices with Az Sports Clinic LLC, a 2-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
In the registry since
2019
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

1743 E Camelback Rd Ste A3
Phoenix, AZ 85016-4015
Phone: (602) 325-5114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7797 W Paradise Ln Ste 130, Peoria, AZ 85382-5011 — (623) 547-7502
  • 350 W Thomas Rd, Phoenix, AZ 85013-4409 — (602) 406-3000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8026 (AZ)

Record details

NPI number1780247429
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 18, 2019
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026
Mailing address7797 W Paradise Ln, Peoria, AZ 85382-5009

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Az Sports Clinic Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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