Individual provider Active NPI

Haleigh Nicole Borneman, NP-C

  • Family Nurse Practitioner
  • Aurora, CO
National Provider Identifier
1285179176
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0992823-NP Issued in CO
Practice address
1080 S Sable Blvd
Aurora, CO 80012-3796
Phone
(303) 552-9577
NPI assigned
Dec 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0992823-NP CO Primary
Registered Nurse 163W00000X RN.1644652 CO

Addresses

Primary practice location

1080 S Sable Blvd
Aurora, CO 80012-3796

Mailing address

3701 S Broadway
Englewood, CO 80113-3611
Phone (303) 360-6276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20250219002443 CO Order and Referring Only - Nurse Practitioner 4789965559

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.1644652COMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Iora Health Colorado, P.C. PastSince Dec 18, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: haleigh.borneman.1@2370.direct.athenahealth.com
  • Direct secure messaging: haleigh.borneman.1@27127.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1285179176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 S BROADWAY",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133611",
            "telephone_number": "303-360-6276",
            "fax_number": "303-343-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 S SABLE BLVD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123796",
            "telephone_number": "303-552-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORNEMAN",
        "first_name": "HALEIGH",
        "middle_name": "NICOLE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-30",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0992823-NP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.1644652",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.