Active NPI
Jessica Ann Borne, MD
- Diagnostic Radiology Physician
- Houma, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 018747
- Practice address
- 1990 Industrial Blvd
Houma, LA 70363-7055 - Phone
- (985) 868-9300
- Fax
- (985) 851-0053
- NPI assigned
- Jul 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | 018747 | LA | |
| Diagnostic Radiology Physician | 2085R0202X | 018747 | LA | Primary |
Addresses
Primary practice location
1990 Industrial Blvd
Houma, LA 70363-7055
Mailing address
1990 Industrial Blvd
Houma, LA 70363-7055
Phone (985) 868-9300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1660680 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Tulane University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1990 Industrial Blvd
Houma, LA 70363-7055
Phone (985) 868-9300
Hospital & facility affiliations
- Leonard J Chabert Medical Center
- Ochsner Medical Center Acute
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018747 | LA | MD | Neuroradiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Louisiana Medical Associates | Current | Accepting new patients | |
| South Louisiana Medical Associates | Diagnostic Radiology | Current | Accepting new patients |
| South Louisiana Medical Associates | Current | Accepting new patients | |
| Jab Rad, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Imaging Specialists of New Orleans | Diagnostic Radiology | Past | Accepting new patients |
| Southern Brain and Spine | Past | Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty G | Past | Accepting new patients | |
| Lsu Medical Center | Past | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Past | Accepting new patients |
Locations
1990 Industrial Blvd
Houma, LA 70363
Phone (985) 868-9300
605 Enterprise Dr
Ste B
Houma, LA 70360
Phone (985) 262-1639
1978 Industrial Blvd
Houma, LA 70363
Phone (985) 873-1814
Organizations & group practices 9
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.
-
- Diagnostic Radiology Physician
- Marrero, LA
- NPI 1104945930
-
- Durable Medical Equipment & Medical Supplies
- Houma, LA
- NPI 1699218131
-
- Internal Medicine Physician
- Houma, LA
- NPI 1710944012
-
- Specialist
- New Orleans, LA
- NPI 1528014164
-
- Diagnostic Radiology Physician
- New Orleans, LA
- NPI 1841296993
-
- Multi-Specialty Clinic/Center
- New Orleans, LA
- NPI 1477582526
-
- Speech-Language Pathologist
- New Orleans, LA
- NPI 1588737803
-
- Neurological Surgery Physician
- Metairie, LA
- NPI 1801982707
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
- General Acute Care Hospital
- Houma, LA
- NPI 1326485749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407974400000",
"number": "1073535852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1990 INDUSTRIAL BLVD",
"city": "HOUMA",
"state": "LA",
"postal_code": "703637055",
"telephone_number": "985-868-9300",
"fax_number": "985-851-0053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1990 INDUSTRIAL BLVD",
"city": "HOUMA",
"state": "LA",
"postal_code": "703637055",
"telephone_number": "985-868-9300",
"fax_number": "985-851-0053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORNE",
"first_name": "JESSICA",
"middle_name": "ANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2014-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "LA",
"license": "018747",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "LA",
"license": "018747",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1660680",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houma, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.
- 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.