Individual provider Active NPI

Kathryn S Borman, D.O., M.P.H.

  • Psychiatry Physician
  • Lincoln, NE
National Provider Identifier
1962695585
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
8479 Issued in SD
Practice address
600 S 70TH St
VA Medical Center
Lincoln, NE 68510-2451
Phone
(402) 486-7823
Fax
(402) 486-7872
NPI assigned
Aug 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 8479 SD Primary
Child & Adolescent Psychiatry Physician 2084P0804X 8479 SD

Addresses

Primary practice location

600 S 70TH St
VA Medical Center
Lincoln, NE 68510-2451

Mailing address

600 S 70TH St
Lincoln, NE 68510-2451
Phone (402) 486-7823

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
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
8479SDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of South Dakota Past Accepting new patients
State of South Dakota Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1962695585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S 70TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102451",
            "telephone_number": "402-486-7823",
            "fax_number": "402-486-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S 70TH ST",
            "address_2": "VA MEDICAL CENTER",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102451",
            "telephone_number": "402-486-7823",
            "fax_number": "402-486-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORMAN",
        "first_name": "KATHRYN",
        "middle_name": "S",
        "credential": "D.O., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SD",
            "license": "8479",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "SD",
            "license": "8479",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.