Borany Kim Ieng, DNP, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

28334 Issued in TN

Practice address

671 N Ericson Rd
Cordova, TN 38018-1006

Phone

(901) 757-7979

NPI assigned

Dec 3, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, TN2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aurora Valley Care Nursing home, Spokane, WA, CCN 505114

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Post Acute Medical PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Lanham, MD
  • NPI 1730713025

  TN, WA

  Medicare reassignment Care Compare group NPD
• Altea Medical Tennessee PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Clinton, TN
  • NPI 1568207983
  Medicare reassignment NPD
• Altea Medical Washington PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Everett, WA
  • NPI 1609655497
  Medicare reassignment NPD
• Aurora Valley Care LLC

  dba Aurora Valley Care

  • Skilled Nursing Facility
  • Spokane Valley, WA
  • NPI 1487451779
  NPD (past)

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

• Aurora Valley Care LLC

  dba Aurora Valley Care

  • Skilled Nursing Facility
  • Spokane Valley, WA
  • NPI 1487451779

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1568067866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 OAK TRAIL DR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381396410",
            "telephone_number": "901-604-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 N ERICSON RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380181006",
            "telephone_number": "901-757-7979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "890 N Houston Levee Rd",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380186614",
            "country_code": "US",
            "telephone_number": "901-757-7979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IENG",
        "first_name": "BORANY",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "28334",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "212038",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28334",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "212038",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakenya Humphrey, LCSW
• Kaelin Hurley
• Angela Hurlow
• John Robert Hutson, PHD
• Susan B Ibrahim, CRFNP
• Ihms Healthcare Incorporated
• Elvin David Ijams, DDS
• Imb Transport LLC
• Tarik Immanuel, NCC, LPC/MHSP (TEMP)
• Infocus Eyecare, PLLC

• Psychiatric/Mental Health Nurse Practitioner in Cordova, TN
• Providers in Cordova, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.