Michele Jeanne Borey, LOTR

Primary specialty

SpecialistTaxonomy code 174400000X

License

OTT.Z11835 Issued in LA

Practice address

151 Lakewood Dr
Luling, LA 70070-6115

Phone

(985) 785-7103

NPI assigned

Mar 7, 2007

Last updated

Jul 9, 2007By 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1336270990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 LAKEWOOD DR",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700706115",
            "telephone_number": "985-785-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 LAKEWOOD DR",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700706115",
            "telephone_number": "985-785-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOREY",
        "first_name": "MICHELE",
        "middle_name": "JEANNE",
        "name_prefix": "Mrs.",
        "credential": "LOTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "OTT.Z11835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1315460",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OTT.Z11835",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl Suzanne Berman-Beaver, LCSW
• Bryan Bertucci, M.D.
• Lindsey Bienvenu, CRNA
• Alexis Black, CNP
• Blair Boone Boggs, LCSW
• Toni Annette Bork, CRNA
• Stephanie Bossier, PA-C
• John David Brannen, DDS
• Debra Lynn Braxton
• Nina Joelle Breakstone, MD

• Specialist in Luling, LA
• Providers in Luling, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.