Kelli Michele Borgwardt, N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN147478 Issued in AZ

Practice address

655 S Dobson Rd
Building a, Suite 103
Chandler, AZ 85224-5667

Phone

(480) 917-3706

Fax

(480) 917-3756

NPI assigned

May 29, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1376804005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 W FAIRVIEW ST",
            "address_2": "STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244712",
            "telephone_number": "480-800-4890",
            "fax_number": "480-427-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 S DOBSON RD",
            "address_2": "BUILDING A, SUITE 103",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245667",
            "telephone_number": "480-917-3706",
            "fax_number": "480-917-3756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGWARDT",
        "first_name": "KELLI",
        "middle_name": "MICHELE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "RN147478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariana Booker
• Jennifer Lynn Booth, M.S., CFY-SLP
• Conner Farrell Bor, DC
• Cynthia Marie Borcherding, RN
• Felicia Borden
• Danielle Veronique Borie
• Alexandrea Borroel, FNP-C
• Sydney Borum
• Bos Chiropractic, PLLC
• Willem E. Bos, D.C.

• Adult Health Nurse Practitioner in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Adult Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.