Individual provider Active NPI

Patrick Eugene Borowicz, RN

  • Registered Nurse
  • St Louis Park, MN
National Provider Identifier
1346548849
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R 188132-5 Issued in MN
Practice address
3524 Minikahda CT Apt 21
St Louis Park, MN 55416-4930
Phone
(320) 221-2554
NPI assigned
Mar 8, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R 188132-5 MN Primary

Addresses

Primary practice location

3524 Minikahda CT Apt 21
St Louis Park, MN 55416-4930

Mailing address

3524 Minikahda CT Apt 21
St Louis Park, MN 55416-4930
Phone (320) 221-2554

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R 188132-5MNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1346548849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3524 MINIKAHDA CT APT 21",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554164930",
            "telephone_number": "320-221-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 MINIKAHDA CT APT 21",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554164930",
            "telephone_number": "320-221-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOROWICZ",
        "first_name": "PATRICK",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R 188132-5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.