Individual provider Active NPI

Elizabeth Myra Borger, ARNP CNM

  • Obstetrics & Gynecology Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1174593107
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
ARNP2772732 Issued in FL
Practice address
1030 E Lafayette St
Suite: 4
Tallahassee, FL 32301-4579
Phone
(850) 583-2696
Fax
(850) 792-6043
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse Practitioner 363LC1500X ARNP2772732 FL
Obstetrics & Gynecology Nurse Practitioner 363LX0001X ARNP2772732 FL Primary

Addresses

Primary practice location

1030 E Lafayette St
Suite: 4
Tallahassee, FL 32301-4579

Mailing address

1030 E Lafayette St
Suite: 4
Tallahassee, FL 32301-4579
Phone (850) 583-2696

Other identifiers 1

IdentifierTypeStateIssuer
034995000MedicaidFL

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)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nature Coast Emergency Physicians, PA Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1174593107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 E LAFAYETTE ST",
            "address_2": "SUITE: 4",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323014579",
            "telephone_number": "850-583-2696",
            "fax_number": "850-792-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 E LAFAYETTE ST",
            "address_2": "SUITE: 4",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323014579",
            "telephone_number": "850-583-2696",
            "fax_number": "850-792-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGER",
        "first_name": "ELIZABETH",
        "middle_name": "MYRA",
        "name_prefix": "Ms.",
        "credential": "ARNP CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "FL",
            "license": "ARNP2772732",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "ARNP2772732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034995000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.