Individual provider Active NPI

Karen L Borich, RN, MSN, CPNP

  • Pediatric Nurse Practitioner
  • Austin, TX
National Provider Identifier
1154651636
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
642105 Issued in TX
Practice address
1807 West Slaughter Lane
Suite 490
Austin, TX 78748-3632
Phone
(512) 282-8967
Fax
(512) 292-5143
NPI assigned
Jan 6, 2010
Last updated
May 19, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 642105 TX Primary

Addresses

Primary practice location

1807 West Slaughter Lane
Suite 490
Austin, TX 78748-3632

Mailing address

1810 Kenwood Ave
Austin, TX 78704-3632

Other identifiers 3

IdentifierTypeStateIssuer
642105OtherTXRN LICENSE
210407701MedicaidTX
210407702MedicaidTX

Other names 1

  • Miss Karen L Sabo Former name

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
642105TXMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1154651636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 KENWOOD AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787043632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 WEST SLAUGHTER LANE",
            "address_2": "SUITE 490",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787483632",
            "telephone_number": "512-282-8967",
            "fax_number": "512-292-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORICH",
        "first_name": "KAREN",
        "middle_name": "L",
        "credential": "RN, MSN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "642105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "642105",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210407701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210407702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "SABO",
            "middle_name": "L",
            "prefix": "MISS",
            "credential": "RN, MSN, CPNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.