Individual provider Active NPI

Martina Louise Borden, R.N.

  • Registered Nurse
  • Pueblo, CO
National Provider Identifier
1437299591
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
68503 Issued in CO
Practice address
151 Central Main St
Pueblo City-County Health Department
Pueblo, CO 81003-4212
Phone
(719) 583-4431
Fax
(719) 583-4439
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 68503 CO Primary

Addresses

Primary practice location

151 Central Main St
Pueblo City-County Health Department
Pueblo, CO 81003-4212

Mailing address

9860 Highway 96 West
Pueblo, CO 81253
Phone (719) 784-2155

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
68503COMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437299591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9860 HIGHWAY 96 WEST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81253",
            "telephone_number": "719-784-2155",
            "fax_number": "719-583-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 CENTRAL MAIN ST",
            "address_2": "PUEBLO CITY-COUNTY HEALTH DEPARTMENT",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810034212",
            "telephone_number": "719-583-4431",
            "fax_number": "719-583-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDEN",
        "first_name": "MARTINA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "68503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

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