Ermithe Bornelus

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1157007 Issued in KY

Practice address

324 Platt Dr
Nicholasville, KY 40356-2550

Phone

(859) 536-0701

NPI assigned

May 14, 2020

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 14, 2020.

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1124640933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 PLATT DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403562550",
            "telephone_number": "859-536-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 PLATT DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403562550",
            "telephone_number": "859-536-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORNELUS",
        "first_name": "ERMITHE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1157007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Nicholasville, KY
• Registered Nurse in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.