IndividualActive
Kathleen Booth, RNC, NP
NPI 1114057510 · Family Nurse Practitioner · St Paul, MN
Provider details
- NPI number
- 1114057510
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RNC, NP
- Sex
- Female
- Sole proprietor
- No
- License
- R1226809 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2115 Summit Ave
Student Health Services # 5056
St Paul, MN 55105
Phone: (651) 962-6750
Fax: (651) 962-6751
Street-level locationGet directions
Mailing address
7 Red Pine Rd
North Oaks, MN 55127-2030
Registry dates
- Enumerated
- 2007-03-06
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.