Todd W Born I, R.N.

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

RN-60221232 Issued in WA

Practice address

609 Northshore Dr
Bellingham, WA 98226-4414

Phone

(360) 676-6000

NPI assigned

Mar 7, 2016

Last updated

Mar 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lake Whatcom Residential & Treatment Center

  • Community/Behavioral Health Agency
  • Bellingham, WA
  • NPI 1043281736
  NPD (past)
• Lake Whatcom Residential & Treatment Center

  • Case Management Agency
  • Bellingham, WA
  • NPI 1780991844
  NPD (past)

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1891155685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 NORTHSHORE DR",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982264414",
            "telephone_number": "360-676-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 NORTHSHORE DR",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982264414",
            "telephone_number": "360-676-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORN",
        "first_name": "TODD",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "WA",
            "license": "RN-60221232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian D. Bonner, M.D.
• Mariisa Ruth Bonsen, PTA
• Shawna Bonsen, OT
• Chris R Borders, MA CCC A
• Alfred Bordeville, LDO,ABO
• Jesse Bornhoft
• Jodi Dawn Borrelli
• David Alexander Borton, MA, LMHC
• Chad Borys, N.D.
• Daniel Bos

• Adult Psychiatric/Mental Health Registered Nurse in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.