Individual provider Active NPI

Tiffany I Borromeo, FNP-C

  • Family Nurse Practitioner
  • Live Oak, TX
National Provider Identifier
1386107977
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140054 Issued in TX
Practice address
11901 Toepperwein Rd Ste 1401
Live Oak, TX 78233-3160
Phone
(210) 599-1433
Fax
(210) 599-1803
NPI assigned
Apr 10, 2019
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP140054 TX Primary

Addresses

Primary practice location

11901 Toepperwein Rd Ste 1401
Live Oak, TX 78233-3160

Mailing address

11901 Toepperwein Rd Ste 1401
Live Oak, TX 78233-3160
Phone (210) 599-1433

Other practice location 1

545 Creekside Xing Ste 206
New Braunfels, TX 78130-4565
Phone (210) 599-1433 ext. 6

Other identifiers 1

IdentifierTypeStateIssuer
AP140054OtherTXFAMILY NURSE PRACTITIONER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20191121002016 TX Practitioner - Nurse Practitioner 7911339486 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CH Specialty Services TX PLLCGroup PAC ID 6507173291, 103 clinicians

Practice addresses (Care Compare)

2802 Flintrock Trce
Suite 201
Austin, TX 78738-1744
Phone (337) 991-9276

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP140054TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonology and Sleep Services of San Antonio LLC CurrentSince Sep 1, 2019 Accepting new patients
Curana Health Medical Group LLC CurrentSince Apr 5, 2023 Accepting new patients
CH Specialty Services TX PLLC Family CurrentSince Apr 5, 2023 Accepting new patients

Locations

2802 Flintrock Trce
Ste 201
Austin, TX 78738
Phone (512) 407-2606

8911 N Capital of Texas Hwy
Ste 1110
Austin, TX 78759
Phone (515) 238-2826

11901 Toepperwein Rd
Ste 1401
Live Oak, TX 78233
Phone (210) 599-1433

790 Generations Dr
Ste 405
New Braunfels, TX 78130
Phone (210) 767-2549

9903 Hunters Pond
San Antonio, TX 78224
Phone (210) 477-2200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1386107977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 TOEPPERWEIN RD STE 1401",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333160",
            "telephone_number": "210-599-1433",
            "fax_number": "210-599-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 TOEPPERWEIN RD STE 1401",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333160",
            "telephone_number": "210-599-1433",
            "fax_number": "210-599-1803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 Creekside Xing Ste 206",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781304565",
            "country_code": "US",
            "telephone_number": "210-599-1433 x6",
            "fax_number": "210-599-1803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORROMEO",
        "first_name": "TIFFANY",
        "middle_name": "I",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY NURSE PRACTITIONER",
            "identifier": "AP140054",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

Verify at the official NPI Registry.