Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Fred Boothby, CNP

Nurse Practitioner in Allegan, MI · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1962483271

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Registry record

Entity type Individual (Type 1)

Name Fred Boothby

Credential CNP

Sex Male

Practice address 3285 122nd Ave, P.O. Drawer 130, Allegan, MI, 49010

Phone (269) 673-6617

Fax (269) 673-2738

Enumeration date Nov 14, 2005

Last updated in NPPES Jan 18, 2008

Taxonomy & licenses

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 4704142595 (MI) Primary

Other identifiers

Identifier	Type	State	Issuer
4699274	Medicaid	MI	-
5008704740	Other	MI	BCBS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1962483271 active?

Yes, as of the latest NPPES snapshot, NPI 1962483271 is active (record last updated 2008-01-18).

How do I verify Fred Boothby's NPI record?

Cross-check NPI 1962483271 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-01-18.