Katherine Borchardt, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

127139-30 Issued in WI

Practice address

3520 Foxfire CT
Manitowoc, WI 54220

Phone

(920) 973-4800

NPI assigned

Sep 28, 2018

Last updated

Sep 28, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1235614843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 FOXFIRE CT",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542201671",
            "telephone_number": "920-973-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 FOXFIRE CT",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "54220",
            "telephone_number": "920-973-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORCHARDT",
        "first_name": "KATHERINE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "127139-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Bonin
• Nicole Bonin, MSW, LCSW
• Abram Richard Bonneville, PA-S
• Brian L Boomgarden, MS CADC
• Justine Boonperm
• Elise Borja, DDS
• Nathan Borlee
• Autumn Bosch
• Sarah Jane Bouc, NP-C
• Stacy Bouplon, LPN

• Registered Nurse in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.