Borron Family Medicine PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP-923A Issued in ID

Legal business name

BORRON FAMILY MEDICINE PLLC

Practice address

790 W Ustick Rd
Ste 110
Meridian, ID 83646-5558

Phone

(208) 639-3990

Fax

(208) 639-3992

NPI assigned

Aug 10, 2010

Organization subpart

No

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

Authorized official

Name

Brookney Raeanne Borron, MSN, FNP-C

Title

Owner

Phone

(208) 866-1428

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christie Jeanne Beattie, NP-C

  • Family Nurse Practitioner
  • Boise, ID
  • NPI 1164734240
  Medicare reassignment Care Compare group NPD
• Whitney Lynn Finch

  • Nurse Practitioner
  • Boise, ID
  • NPI 1144728718

  Family

  Medicare reassignment Care Compare group NPD
• Brookney R Stone, FNP

  • Family Nurse Practitioner
  • Meridian, ID
  • NPI 1053543660
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1033424429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 W USTICK RD",
            "address_2": "SUITE 110",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465558",
            "telephone_number": "208-639-3990",
            "fax_number": "208-639-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 W USTICK RD",
            "address_2": "STE 110",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465558",
            "telephone_number": "208-639-3990",
            "fax_number": "208-639-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORRON FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "BORRON",
        "authorized_official_first_name": "BROOKNEY",
        "authorized_official_middle_name": "RAEANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-866-1428",
        "authorized_official_credential": "MSN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-923A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033424429",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Boothman, M.D.
• Emily Boozalis, MD
• Nicole Danielle Borcyk, OTR/L
• Taylor Jean Borders
• Andrea Bornstein, DMD
• Mary M Bosco, RD
• Cassidy Bose, DC
• Hannah Boss
• Cheryl Botting-Hammack, M.S.
• June Ellen Boucher, LCSW

• Family Nurse Practitioner in Meridian, ID
• Providers in Meridian, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.