Active NPI
Brianne Boraby
- Family Nurse Practitioner
- Columbus, OH
National Provider Identifier
1346912094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- LE-00038556
- Practice address
- 1085 Polaris Pkwy
Columbus, OH 43240-2004 - Phone
- (614) 505-0778
- NPI assigned
- Oct 1, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | LE-00038556 | OH | Primary |
Addresses
Primary practice location
1085 Polaris Pkwy
Columbus, OH 43240-2004
Mailing address
6836 Olde Dutch Rd
Westerville, OH 43081-3281
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251029003249 | OH | Order and Referring Only - Nurse Practitioner | 1153714480 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LE-00038556 | OH | MD | Family Nurse Practitioner |
Interoperability endpoints
- brianne.boraby.d1.p17@direct.columbuspublichealth.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633046400000",
"number": "1346912094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6836 OLDE DUTCH RD",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430813281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1085 POLARIS PKWY",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432402004",
"telephone_number": "614-505-0778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORABY",
"first_name": "BRIANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-01",
"last_updated": "2021-10-01",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "LE-00038556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.