Individual provider Active NPI

Anna Simone Bordner, RN

  • Critical Care Medicine Registered Nurse
  • Lakewood, CO
National Provider Identifier
1639802630
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Registered NurseTaxonomy code 163WC0200X
License
1649490 Issued in CO
Practice address
1244 S Reed St Apt 2
Lakewood, CO 80232-5567
Phone
(509) 429-4685
NPI assigned
Jul 7, 2022
Last updated
Jul 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 1649490 CO Primary

Addresses

Primary practice location

1244 S Reed St Apt 2
Lakewood, CO 80232-5567

Mailing address

1244 S Reed St Apt 2
Lakewood, CO 80232-5567
Phone (509) 429-4685

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
1649490COMDCritical Care Medicine Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1639802630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 S REED ST APT 2",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802325567",
            "telephone_number": "509-429-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 S REED ST APT 2",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802325567",
            "telephone_number": "509-429-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDNER",
        "first_name": "ANNA",
        "middle_name": "SIMONE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CO",
            "license": "1649490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.