Melissa Anne Bordenave, WHNP-BC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

BOR104320461 Issued in IL

Practice address

1795 Radio Dr
Suite D
Woodbury, MN 55125-9414

Phone

(651) 696-5550

NPI assigned

Jan 5, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Planned Parenthood Minnesota, North Dakota, South Dakota

  dba PLAN Express Clinic

  • Specialist
  • Woodbury, MN
  • NPI 1801968664
  NPD (past)

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1114297215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 12TH AVE SE",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550251922",
            "telephone_number": "651-464-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 RADIO DR",
            "address_2": "SUITE D",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551259414",
            "telephone_number": "651-696-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDENAVE",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "BOR104320461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Elizabeth Bond
• Melissa Bongard, PT
• Wendy M Bongers, MD
• Thomas Books, RPH
• Amanda Rose Hernandez Boraas, LADC LMFT
• Jennifer Lynn Borges, O.D.
• Morgan Borine, MA, MS, PMHNP-BC
• Debora Born, MASSAGE THERAPIST
• Katherine Bosch, MS, CCC-SLP
• Monica Ingrid Boser, PHARM.D.

• Women's Health Nurse Practitioner in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Women's Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.