Active NPI
Iris Renee Borem, C.N.S.
- Clinical Nurse Specialist
- Tulsa, OK
National Provider Identifier
1275778060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- R0081229
- Practice address
- 1265 S Utica Ave
Suite 300
Tulsa, OK 74104-4243 - Phone
- (918) 592-0999
- Fax
- (918) 592-1021
- NPI assigned
- Dec 8, 2008
- 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 |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | R0081229 | OK | Primary |
Addresses
Primary practice location
1265 S Utica Ave
Suite 300
Tulsa, OK 74104-4243
Mailing address
1265 S Utica Ave
Suite 300
Tulsa, OK 74104-4243
Phone (918) 592-0999
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 Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0081229 | OK | MD | Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integris Cardiovascular Physicians LLC | 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 and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Oklahoma City, OK
- NPI 1306129598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365465600000",
"number": "1275778060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1265 S UTICA AVE",
"address_2": "SUITE 300",
"city": "TULSA",
"state": "OK",
"postal_code": "741044243",
"telephone_number": "918-592-0999",
"fax_number": "918-592-1021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 S UTICA AVE",
"address_2": "SUITE 300",
"city": "TULSA",
"state": "OK",
"postal_code": "741044243",
"telephone_number": "918-592-0999",
"fax_number": "918-592-1021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOREM",
"first_name": "IRIS",
"middle_name": "RENEE",
"credential": "C.N.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-08",
"last_updated": "2013-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "OK",
"license": "R0081229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.