Individual provider Active NPI

Cynthia Borum, NP-C

  • Nurse Practitioner
  • Kingston Springs, TN
National Provider Identifier
1588021711
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN20480 Issued in TN
Practice address
448 Harpeth Meadows Dr
Kingston Springs, TN 37082-8919
Phone
(615) 945-9401
NPI assigned
Jan 19, 2016
Last updated
Jan 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN20480 TN Primary

Addresses

Primary practice location

448 Harpeth Meadows Dr
Kingston Springs, TN 37082-8919

Mailing address

448 Harpeth Meadows Dr
Kingston Springs, TN 37082-8919
Phone (615) 945-9401

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

State licenses

LicenseStateTypeSpecialty
APN20480TNMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1588021711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 HARPETH MEADOWS DR",
            "city": "KINGSTON SPRINGS",
            "state": "TN",
            "postal_code": "370828919",
            "telephone_number": "615-945-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 HARPETH MEADOWS DR",
            "city": "KINGSTON SPRINGS",
            "state": "TN",
            "postal_code": "370828919",
            "telephone_number": "615-945-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORUM",
        "first_name": "CYNTHIA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN20480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston Springs, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.