Elyse S Borha, BSN, MSN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9015163-4405 Issued in UT

Practice address

12836 S New Rowley LN
Herriman, UT 84096-1430

Phone

(347) 613-3493

NPI assigned

Oct 16, 2019

Last updated

Oct 31, 2023By 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

• Mrs. Elyse S Borha Professional name

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner

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

• Woundtech of Utah, Inc.

  • Infectious Disease Physician
  • Salt Lake City, UT
  • NPI 1750922415
  Medicare reassignment

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1073155594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12836 S NEW ROWLEY LN",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840961430",
            "telephone_number": "347-613-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12836 S NEW ROWLEY LN",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840961430",
            "telephone_number": "347-613-3493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORHA",
        "first_name": "ELYSE",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "BSN, MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "9015163-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELYSE",
            "last_name": "BORHA",
            "middle_name": "S",
            "prefix": "MRS.",
            "credential": "BSN, MSN, FNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Heidi Blackham, CCC-SLP
• Jacob Matthew Blackham
• Blue Skies Counseling
• Jessiann Bodell
• Rachel Bonell
• Shelby Sue Bowman, NP
• Brian Keith Braegger, PHARM.D
• Jennifer Branin
• Jamaica Erica Breckenridge
• Rachel Britton, CD

• Family Nurse Practitioner in Herriman, UT
• Providers in Herriman, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.