Elizabeth Grace Borst, REGISTERED NURSE

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

525418 Issued in NY

Practice address

8326 Main St
Interlaken, NY 14847-9789

Phone

(607) 869-9636

NPI assigned

Aug 27, 2018

Last updated

Aug 27, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1891276903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8326 MAIN ST",
            "city": "INTERLAKEN",
            "state": "NY",
            "postal_code": "148479789",
            "telephone_number": "607-869-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8326 MAIN ST",
            "city": "INTERLAKEN",
            "state": "NY",
            "postal_code": "148479789",
            "telephone_number": "607-869-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORST",
        "first_name": "ELIZABETH",
        "middle_name": "GRACE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "525418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01427985",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dena Ganoung, RN
• Leigh Helen Grove, RN
• Scott Adam Grove, ATC
• Alicia Masloski, OTR/L
• Calina Sue Mayo, CD

• School Registered Nurse in Interlaken, NY
• Providers in Interlaken, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.