Active NPI
Tabitha Morgan Borne, RN
- Registered Nurse
- Tacoma, WA
National Provider Identifier
1124527668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN60826545
- Practice address
- Madigan Army Medical Center
9040 Jackson Ave, Attn: MCHJ-CLQ-C
Tacoma, WA 98431-1100 - Phone
- (253) 968-1110
- NPI assigned
- Feb 11, 2018
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 13-132844-071 | KS | |
| Registered Nurse | 163W00000X | RN60826545 | WA | Primary |
Addresses
Primary practice location
Madigan Army Medical Center
9040 Jackson Ave, Attn: MCHJ-CLQ-C
Tacoma, WA 98431-1100
Mailing address
Madigan Army Medical Center
9040 Jackson Ave, Attn: MCHJ-CLQ-C
Tacoma, WA 98431-1100
Other names 1
- Ms. Tabitha Morgan Lisle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13-132844-071 | KS | MD | Registered Nurse |
| RN60826545 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518307200000",
"number": "1124527668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CENTER",
"address_2": "9040 JACKSON AVE, ATTN: MCHJ-CLQ-C",
"city": "TACOMA",
"state": "WA",
"postal_code": "984311100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CENTER",
"address_2": "9040 JACKSON AVE, ATTN: MCHJ-CLQ-C",
"city": "TACOMA",
"state": "WA",
"postal_code": "984311100",
"telephone_number": "253-968-1110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORNE",
"first_name": "TABITHA",
"middle_name": "MORGAN",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-11",
"last_updated": "2018-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "13-132844-071",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60826545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TABITHA",
"last_name": "LISLE",
"middle_name": "MORGAN",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.