BOB BORN


Address: 1421 E 2nd St N, Wichita, KS 67214-4119
Phone: 3163030333

BOB BORN (NPI# 1295775138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295775138
Entity Type Individual
Full Name BOB BORN
Credential APRN
Practice Address 1421 E 2nd St N
Wichita
KS 67214-4119
Practice Telephone 3163030333
Practice Fax Number 3168477093
Mailing Telephone 3163030333
Mailing Fax Number 3168477093
Enumeration Date 2006-06-08
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
14-78962-091 KS Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
74595 KS Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
KS BLUE CROSS BLUE SHIELD 160849 01
KS PREFERRED HEALTH SYSTEMS 14563 01
KS CIGNA 2144767 01
KS RAILROAD MEDICARE 500029366 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1919 N Amidon Ave, Suite 100, Wichita, KS 672032117 3166607540 3166607588

Office Location

Street Address 1421 E 2ND ST N
City WICHITA
State KS
Zip Code 67214-4119

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043723497 Mental Health Medication Services, P.a. Psychiatry & Neurology 1421 E 2nd St N, Wichita, KS 67214-4119 2017-11-08
1194120634 Helen Frances Smalley Counselor 1421 E 2nd St N, Wichita, KS 67214-4119 2014-10-27
1245404151 Family Counseling Center Pa Social Worker 1421 E 2nd St N, Wichita, KS 67214-4119 2008-04-22
1649488529 Angie Marie Mooneyham Marriage & Family Therapist 1421 E 2nd St N, Wichita, KS 67214-4119 2007-05-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124591185 Laquita Patrice Boyede Durable Medical Equipment & Medical Supplies 1503 Northeast Parkway, Wichita, KS 67214 2019-01-02
1891270674 Kathryn Denise Boomer Physician Assistant 929 St. Francis N, Wichita, KS 67214 2018-09-27
1447756457 Cardinal Health 132 LLC Pharmacy 527 N Grove Street, Suite 100, Wichita, KS 67214 2018-03-30
1023517174 Laboratory Corporation of America Holdings Clinical Medical Laboratory 3243 E Murdock Street, Level G, Wichita, KS 67214 2018-02-05
1558887901 Shonnetta Lachan Gabriel Counselor 2707 E. 21st St. N, Wichita, KS 67214 2017-08-17
1417492174 Walgreen Co Durable Medical Equipment & Medical Supplies 803 N Broadway Ave, Wichita, KS 67214 2017-01-04
1952850653 Rachel J Johnson Counselor 805 N Volutsia, Wichita, KS 67214 2016-09-23
1063899813 Christy Lee Foos Social Worker 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 2015-04-30
1952708018 William Schroeder Fargo Specialist 701 N. Emporia, Wichita, KS 67214 2014-12-04
1447692710 Valeriya V Hunter Dentist 527 N Grove, Wichita, KS 67214 2013-07-26
Find all providers in zip 67214

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023658663 Boniface Ndungu Gitau Nurse Practitioner 6003 E Bayley St, Wichita, KS 67218-3505 2020-01-12
1083262695 Andrea Michelle Rogers Nurse Practitioner 7829 E Rockhill St Ste 105, Wichita, KS 67206-3919 2019-08-27
1487132171 Kristal Lynn Lang Nurse Practitioner 7570 W 21st St, Suite 1026d, Wichita, KS 67205-1764 2018-08-03
1114334067 Jane Crawford Nurse Practitioner 8623 E 32nd St N, Wichita, KS 67226 2014-07-11
1134375280 Susan Mileham Nurse Practitioner 1660 N Tyler Rd Ste A, Wichita, KS 67212-4918 2008-08-08
1174657225 Anderson Family Health, Inc. Nurse Practitioner 2808 E Central Ave, Wichita, KS 67214-4707 2007-03-14
1780765438 Arian A Riordan Nurse Practitioner 8901 E Orme St, Wichita, KS 67207-2473 2006-10-18
1508962945 Ana Sarra Ahrens Nurse Practitioner 1919 N Amidon Ave Ste 317, Wichita, KS 67203-2120 2006-09-15
1598760381 Paula Skinner Nurse Practitioner 934 N Water St, Wichita, KS 67203-3838 2005-06-17
1245234723 Kathleen A Barrett Nurse Practitioner 347 S Laura St, Wichita, KS 67211-1518 2005-06-13
Find all providers in WICHITA

Competitor

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City WICHITA
Zip Code 67214

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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