Amy Lynn Bornhoft, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

120634 Issued in AR

Practice address

1005 Balcom LN
Trumann, AR 72472-9502

Phone

(870) 418-1000

Fax

(877) 481-0779

NPI assigned

Oct 3, 2022

Last updated

Oct 3, 2022By the provider in NPPES

Sex

Female

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1093439176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 SOUTHWEST DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724048404",
            "telephone_number": "870-932-3600",
            "fax_number": "877-481-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 BALCOM LN",
            "city": "TRUMANN",
            "state": "AR",
            "postal_code": "724729502",
            "telephone_number": "870-418-1000",
            "fax_number": "877-481-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORNHOFT",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AR",
            "license": "120634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Danette Boling, LPN
• Barbara Bollinger, AT
• Jesse Colt Bonds, PHARMD
• Celia Bonner
• Latasha Booker
• Sondra Bray
• Mallory Leeann Broadaway, APRN-CNP
• Sarah Broglen
• Tekiah Brownlee
• Kari J Brumley, QBHP

• School Registered Nurse in Trumann, AR
• Providers in Trumann, AR by specialty
• School Registered Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.