Alicia M Borne-Nusom, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC010643 Issued in PA

Practice address

9896 Bissonnet St Ste 133
Houston, TX 77036-8104

Phone

(240) 779-1203

NPI assigned

Feb 21, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Alicia M. Borne Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1194065581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5512 RIO ALAMO ST",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775834002",
            "telephone_number": "240-779-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9896 BISSONNET ST STE 133",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368104",
            "telephone_number": "240-779-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORNE-NUSOM",
        "first_name": "ALICIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-21",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "BORNE",
            "middle_name": "M.",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fatima Boricha, M.D.
• Jacqueline Borja
• Sara Jenevieve Denise Bork, PHARMD
• Jamar Joseph Borland, MD
• Concetta Bormans, PHD
• Nancy J Borne, SLP
• Randalyn Borne
• Jennifer Borneman
• Victoria Alejandra Borregales Thielen
• Natali Cristina Borrego, DO

• Chiropractor in Houston, TX
• Providers in Houston, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.