Active NPI
Martha Schaub Bordeaux, RNC, PNP-BC
- Neonatal Nurse Practitioner
- Durham, NC
National Provider Identifier
1679842330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 300319
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 300319 | NC | MD | Neonatal Nurse Practitioner |
Interoperability endpoints
- 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.