Active NPI
Mandy Borchers, MS, ATC, CSCS
- Athletic Trainer
- Mt Pleasant, IA
National Provider Identifier
1689097370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 00577
- Practice address
- 601 N Main St
Mount Pleasant, IA 52641-1348 - Phone
- (319) 217-9354
- NPI assigned
- Jan 30, 2014
- Last updated
- Jan 30, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 00577 | IA | Primary |
Addresses
Primary practice location
601 N Main St
Mount Pleasant, IA 52641-1348
Mailing address
601 N Main St
Mount Pleasant, IA 52641-1348
Phone (319) 217-9354
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00577 | IA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391040000000",
"number": "1689097370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 N MAIN ST",
"city": "MOUNT PLEASANT",
"state": "IA",
"postal_code": "526411348",
"telephone_number": "319-217-9354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N MAIN ST",
"city": "MOUNT PLEASANT",
"state": "IA",
"postal_code": "526411348",
"telephone_number": "319-217-9354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORCHERS",
"first_name": "MANDY",
"name_prefix": "Mrs.",
"credential": "MS, ATC, CSCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-30",
"last_updated": "2014-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IA",
"license": "00577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Pleasant, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.