Active NPI
Rebecca Sue Border, NURSE PRACTITIONER
- Family Nurse Practitioner
- Adrian, MI
National Provider Identifier
1235467093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704180437
- Practice address
- 1200 N Main St
Adrian, MI 49221-1759 - Phone
- (517) 263-1800
- Fax
- (517) 263-1866
- NPI assigned
- Dec 5, 2009
- Last updated
- Oct 28, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704180437 | MI | Primary |
Addresses
Primary practice location
1200 N Main St
Adrian, MI 49221-1759
Mailing address
3355 Glendale Ave
Third Floor
Toledo, OH 43614-2426
Phone (419) 383-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0870939 | Other | MI | BCBSM |
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 Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geriatric Nurse Practitioners, Inc. | Past | Accepting new patients | |
| T & J Family Medical Associates PLLC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba THE Milan Medical Clinic
- Family Medicine Physician
- Milan, MI
- NPI 1477870137
-
- Nurse Practitioner
- Akron, OH
- NPI 1427008200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414454400000",
"number": "1235467093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3355 GLENDALE AVE",
"address_2": "THIRD FLOOR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436142426",
"telephone_number": "419-383-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N MAIN ST",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492211759",
"telephone_number": "517-263-1800",
"fax_number": "517-263-1866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORDER",
"first_name": "REBECCA",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-05",
"last_updated": "2014-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704180437",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "0870939",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Adrian, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.