Active NPI
Lourdes Llamileth Borunda
- Other Technician
- Irving, TX
National Provider Identifier
1689169799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 400 E Royal LN BLDG 3
Irving, TX 75039 - Phone
- (558) 326-7278
- NPI assigned
- Jun 30, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | TX | ||
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
400 E Royal LN BLDG 3
Irving, TX 75039
Mailing address
4575 SE Dixie Hwy
Stuart, FL 34997-6826
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530316800000",
"number": "1689169799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4575 SE DIXIE HWY",
"city": "STUART",
"state": "FL",
"postal_code": "349976826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E ROYAL LN BLDG 3",
"city": "IRVING",
"state": "TX",
"postal_code": "75039",
"telephone_number": "558-326-7278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORUNDA",
"first_name": "LOURDES",
"middle_name": "LLAMILETH",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-30",
"last_updated": "2018-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.