Kathryn Lacy Borland

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1004 S Main St
Berryville, AR 72616-4330

Phone

(870) 423-1077

Fax

(870) 423-1087

NPI assigned

Jun 10, 2010

Last updated

Aug 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kathryn Lacy Martin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1033439203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 S MAIN ST",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726164330",
            "telephone_number": "870-423-1077",
            "fax_number": "870-423-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 S MAIN ST",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726164330",
            "telephone_number": "870-423-1077",
            "fax_number": "870-423-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORLAND",
        "first_name": "KATHRYN",
        "middle_name": "LACY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "MARTIN",
            "middle_name": "LACY",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cathy Barker-Brown, NP
• Kathy Barnes, LMSW
• Berryville Eyecare Clinic
• Jim D Blanchard, DDS
• Kerry Lynn Boley, RPH
• Boston Mountain Rural Health Center Inc
• Bailey Kay Bremser, MOT, OTR/L
• Eva Jill Bright
• Brooke a. Bisbee, DPM, PA (Family Foot Health Center PA)
• Joe William Brown, MD

• Case Manager/Care Coordinator in Berryville, AR
• Providers in Berryville, AR by specialty
• Case Manager/Care Coordinator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.