Individual provider Active NPI

Barbara A Boreen, CRNP

  • Primary Care Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1184851966
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1064074 Issued in AL
Practice address
833 Saint Vincents Dr Ste 501
Pob III
Birmingham, AL 35205-1619
Phone
(205) 933-4679
Fax
(205) 918-1469
NPI assigned
Jun 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1064074 AL Primary

Addresses

Primary practice location

833 Saint Vincents Dr Ste 501
Pob III
Birmingham, AL 35205-1619

Mailing address

833 Saint Vincents Dr Ste 300
Pob III
Birmingham, AL 35205-1612
Phone (205) 933-4679

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address barbaraboreen@southviewm.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140207001171 AL Practitioner - Nurse Practitioner 8426287715 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 1, 2025 Accepting new patients
Uab Southview LLC Past Accepting new patients

Locations

9149 Highway 119
Alabaster, AL 35007
Phone (659) 242-5456

416 N Seminary St
Ste 1100
Florence, AL 35630
Phone (256) 284-7280

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1184851966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 SAINT VINCENTS DR STE 300",
            "address_2": "POB III",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051612",
            "telephone_number": "205-933-4679",
            "fax_number": "205-918-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 SAINT VINCENTS DR STE 501",
            "address_2": "POB III",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051619",
            "telephone_number": "205-933-4679",
            "fax_number": "205-918-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOREEN",
        "first_name": "BARBARA",
        "middle_name": "A",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "1064074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "barbaraboreen@southviewm.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "833 Saint Vincents Dr Ste 501",
            "address_2": "POB III",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352051619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.