Kimberly Marie Borghese, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN001205 Issued in NV

Practice address

1781 Village Center Cir Ste 130
Las Vegas, NV 89134-0573

Phone

(702) 987-0400

Fax

(702) 947-8055

NPI assigned

Jul 22, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kimberly Marie Beard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1891008587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 VILLAGE CENTER CIR STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891340573",
            "telephone_number": "702-987-0400",
            "fax_number": "702-947-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 VILLAGE CENTER CIR STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891340573",
            "telephone_number": "702-987-0400",
            "fax_number": "702-947-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGHESE",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-22",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APN001205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "APN001205",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BEARD",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nair Enid Borges, OD
• Ruth Borges
• Tamara Borges
• Antonella Borgetti
• Antonio Borgetti
• Deise Borghetti
• Anthony V Borgia, DPM
• Mariah Danell Borgna, QMHA
• Renzo Monfero Borgonos
• Brenda Borgosano

• All providers in Las Vegas, NV
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.