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

Tyler Booth, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1245800986

Tyler Booth, FNP-BC is a Nurse Practitioner in Albuquerque, New Mexico. Qualified in 2021, 5 years ago. Practices with Unm Medical Group Inc, a 1,060-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
5
Licensed in
NM
In the registry since
2021
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

4901 Lang Ave NE
Albuquerque, NM 87109-4397
Phone: (505) 842-8171
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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 64242 (NM)

Record details

NPI number1245800986
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJune 25, 2021
Last updated in NPPESSeptember 20, 2024
Certification dateSeptember 20, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Unm Medical Group Inc — 1060 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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