Individual provider Active NPI

Martha Schaub Bordeaux, RNC, PNP-BC

  • Neonatal Nurse Practitioner
  • Durham, NC
National Provider Identifier
1679842330
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
300319 Issued in NC
Practice address
5524 Hospital N
Box 100500
Durham, NC 27710-0001
Phone
(919) 970-7341
Fax
(919) 681-6065
NPI assigned
Dec 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X 300319 NC Primary

Addresses

Primary practice location

5524 Hospital N
Box 100500
Durham, NC 27710-0001

Mailing address

2424 Erwin Rd
Suite 504, Neonatology
Durham, NC 27705-3824
Phone (919) 970-7341

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
300319NCMDNeonatal Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: mschaubbordeaux58086@direct.medicine.duke.edu

NPI Registry JSON

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1679842330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 ERWIN RD",
            "address_2": "SUITE 504, NEONATOLOGY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053824",
            "telephone_number": "919-970-7341",
            "fax_number": "919-681-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5524 HOSPITAL N",
            "address_2": "BOX 100500",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277100001",
            "telephone_number": "919-970-7341",
            "fax_number": "919-681-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDEAUX",
        "first_name": "MARTHA",
        "middle_name": "SCHAUB",
        "name_prefix": "Ms.",
        "credential": "RNC, PNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-23",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "NC",
            "license": "300319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.