Active NPI
Joyce C. Stewart-Borders, CNP
- Women's Health Nurse Practitioner
- East Saint Louis, IL
National Provider Identifier
1861558249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 209004956
- Practice address
- 100 N 8TH St
Suite 238
East Saint Louis, IL 62201-2989 - Phone
- (618) 274-9105
- Fax
- (618) 274-9101
- NPI assigned
- Dec 29, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041227301 | IL | |
| Registered Nurse | 163W00000X | 140095 | MO | |
| Nurse Practitioner | 363L00000X | 140095 | MO | |
| Women's Health Nurse Practitioner | 363LW0102X | 209004956 | IL | Primary |
Addresses
Primary practice location
100 N 8TH St
Suite 238
East Saint Louis, IL 62201-2989
Mailing address
100 N 8TH St
Suite 238
East Saint Louis, IL 62201-2989
Phone (618) 274-9105
Other names 1
- Joyce C. Borders
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
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041227301 | IL | MD | Registered Nurse |
| 140095 | MO | MD | Nurse Practitioner |
| 209004956 | IL | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Illinois Regional Wellness Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- East Saint Louis, IL
- NPI 1336258540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354579200000",
"number": "1861558249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N 8TH ST",
"address_2": "SUITE 238",
"city": "EAST SAINT LOUIS",
"state": "IL",
"postal_code": "622012989",
"telephone_number": "618-274-9105",
"fax_number": "618-274-9101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N 8TH ST",
"address_2": "SUITE 238",
"city": "EAST SAINT LOUIS",
"state": "IL",
"postal_code": "622012989",
"telephone_number": "618-274-9105",
"fax_number": "618-274-9101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART-BORDERS",
"first_name": "JOYCE",
"middle_name": "C.",
"name_prefix": "Mrs.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2012-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041227301",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "140095",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "140095",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "IL",
"license": "209004956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOYCE",
"last_name": "BORDERS",
"middle_name": "C.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in East Saint Louis, IL
- Southern Illinois Healthcare Foundation, Inc.
- Southern Illinois Regional Wellness Center
- Southern Illinois University Edwardsville
- Sse Care LLC
- Latisha Trenice Stennis, PMHNP
- Laquesa Ronesha Stringfellow
- Strower Dialysis LLC
- Robert Lyle Swanson, COTA/L
- Stephanie Michelle Tate-Patterson, NP
- Tiffany Reed Tate-Woodard, AGNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.