Erik Tyler Borgstrom

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

RN9438147 Issued in FL

Practice address

4427 W Leila Ave
Tampa, FL 33616-1007

Phone

(727) 459-8188

NPI assigned

Nov 15, 2018

Last updated

Nov 15, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1063981447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4427 W LEILA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336161007",
            "telephone_number": "727-459-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4427 W LEILA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336161007",
            "telephone_number": "727-459-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGSTROM",
        "first_name": "ERIK",
        "middle_name": "TYLER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-15",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "FL",
            "license": "RN9438147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Caridad Borges Prado, RBT
• Kenneth Borges Rosado
• Rafael Borges Turro
• Damarion Borges, RBT
• Abram Christopher Borgman, CRNA
• Charlene Boria, BA
• Kayla June Boris
• Sophia Leigh Boris, OD
• Boris T Borissov, ARNP
• Dimitrina Iordanova Borissova, CRNA

• Critical Care Medicine Registered Nurse in Tampa, FL
• Providers in Tampa, FL by specialty
• Critical Care Medicine Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.