Nislievy M Borges Tortolo

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

23-292051 Issued in FL

Practice address

12570 SW 7TH CT
Davie, FL 33325-3457

Phone

(546) 104-3509

NPI assigned

Aug 12, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tri-County Life Care Inc

  • Home Health Agency
  • Davie, FL
  • NPI 1235239427
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1013563584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12570 SW 7TH CT",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333253457",
            "telephone_number": "546-104-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12570 SW 7TH CT",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333253457",
            "telephone_number": "546-104-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGES TORTOLO",
        "first_name": "NISLIEVY",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "23-292051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Yogita Boodhoo
• Janelle M Booker, M.S., BCBA
• Jonathan Keith Boone
• Katelyn Jae Boone
• Jessica Booth
• Deanna Born, O.D.
• Joseph A Bornstein, MSN, APRN, FNP-BC
• Griselle Borrero
• Sarah Michelle Borrero
• Amber Carlene Bost, LMT

• Behavior Technician in Davie, FL
• Providers in Davie, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.