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

Mary Kathleen Booten, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1093408510

Mary Kathleen Booten, FNP-BC is a Nurse Practitioner in Pikeville, Kentucky. Qualified in 2022, 4 years ago. Practices with Dominion Health and Fitness, Inc, a 73-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
4
Licensed in
KY
In the registry since
2023
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

911 Bypass Rd Bldg A
Pikeville, KY 41501-1602
Phone: (606) 430-2206
Fax: (606) 218-7506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4004974 (KY)

Record details

NPI number1093408510
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedMay 31, 2023
Last updated in NPPESJune 14, 2023
Certification dateJune 14, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Dominion Health And Fitness, Inc — 73 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pikeville