Individual provider Active NPI

Emily Claire Borden

  • Athletic Trainer
  • Scottsdale, AZ
National Provider Identifier
1134633290
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
ATR-008977 Issued in AZ
Practice address
8630 E Via de Ventura Ste 201
Scottsdale, AZ 85258
Phone
(480) 558-3744
Fax
(480) 558-3801
NPI assigned
Nov 28, 2017
Last updated
Jan 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT.004546
Athletic Trainer 2255A2300X ATR-008977 AZ Primary

Addresses

Primary practice location

8630 E Via de Ventura Ste 201
Scottsdale, AZ 85258

Mailing address

8630 E Via de Ventura Ste 201
Scottsdale, AZ 85258-3358
Phone (480) 558-3744

Other practice location 1

2835 Fred Taylor Dr Ste 2000
Columbus, OH 43202-1552
Phone (614) 293-3600

Other practice location 2

2835 Fred Taylor Dr Ste 2000
Columbus, OH 43202-1552
Phone (614) 293-3600

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

State licenses

LicenseStateTypeSpecialty
ATR-008977AZMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1134633290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8630 E VIA DE VENTURA STE 201",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583358",
            "telephone_number": "480-558-3744",
            "fax_number": "480-558-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 E VIA DE VENTURA STE 201",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85258",
            "telephone_number": "480-558-3744",
            "fax_number": "480-558-3801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2835 Fred Taylor Dr Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432021552",
            "country_code": "US",
            "telephone_number": "614-293-3600",
            "fax_number": "614-293-2910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2835 Fred Taylor Dr Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432021552",
            "country_code": "US",
            "telephone_number": "614-293-3600",
            "fax_number": "614-293-2910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORDEN",
        "first_name": "EMILY",
        "middle_name": "CLAIRE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-28",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": "AT.004546",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "ATR-008977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.