KRISTY BORUM (NPI# 1659835429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659835429 |
| Entity Type | Individual |
| Full Name | KRISTY BORUM |
| Other Name | KRISTY BORUM |
| Credential | NURSE PRACTITIONER |
| Practice Address |
975 E 3rd St Chattanooga TN 37403-2147 |
| Practice Telephone | 4237787000 |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2020-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
21720 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 325 N. State of Franklin Road, Ground Floor, Johnson City, TN 37604 | 4234397320 | 4234397373 |
| Street Address |
975 E 3RD ST |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37403-2147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306849765 | Pradeep K Jacob | Radiology | 975 E 3rd St, Chattanooga, TN 37403-2103 | 2005-05-31 |
| 1689271520 | Hannah Edmonds | Anesthesiology | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2020-10-05 |
| 1073122024 | Corey Bray | Pharmacist | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2020-07-27 |
| 1003437237 | Joseph Kerby Gray | Student in an Organized Health Care Education/Training Program | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2020-04-28 |
| 1689294290 | Valentin Jurma | Student in an Organized Health Care Education/Training Program | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2020-04-23 |
| 1922628882 | Morgan Sullivan Mayfield | Student in an Organized Health Care Education/Training Program | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2020-04-21 |
| 1497375588 | Charles Cody White | Student in an Organized Health Care Education/Training Program | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2020-04-20 |
| 1114546579 | Elijah Caleb Wyatt | Student in an Organized Health Care Education/Training Program | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2020-04-15 |
| 1750900213 | Andrew Hairston Mims | Student in an Organized Health Care Education/Training Program | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2020-04-14 |
| 1811516552 | Victor Kremser | Student in an Organized Health Care Education/Training Program | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2020-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033771332 | Jaimie Mills | Specialist/Technologist | 103 Metropolitan Building, Chattanooga, TN 37403 | 2019-07-08 |
| 1972092849 | Joshua Dale Gebhardt | Marriage & Family Therapist | 1024 East M L King Blvd, Chattanooga, TN 37403 | 2018-05-07 |
| 1528580750 | Klifford Hawkins | Physical Therapist | 1100 E 3rd St Ste G103, Chattanooga, TN 37403 | 2017-07-10 |
| 1861921470 | Jonathan Everett Burden | Student in an Organized Health Care Education/Training Program | 960 E 3rd St Ste 104, Chattanooga, TN 37403 | 2017-06-07 |
| 1992167092 | Majel Victoria Purvis Miles | Student in an Organized Health Care Education/Training Program | 979 E 3rd St Ste 401, Chattanooga, TN 37403 | 2016-03-28 |
| 1972942902 | Danielle Nessly | Nurse Practitioner | 730 East 11th Street, Chattanooga, TN 37403 | 2013-06-24 |
| 1023453271 | Nathan Claydon | Internal Medicine | 960 East 3rd St, Suite 104, Chattanooga, TN 37403 | 2013-05-01 |
| 1336482603 | Veronica Patterson Zachry | Student in an Organized Health Care Education/Training Program | 975 E. 3rd Street, Chattanooga, TN 37403 | 2013-04-04 |
| 1639420417 | Ctr. for Individual & Family Effectiveness | Community/Behavioral Health | 310 E. 8th St., Ste. C, Chattanooga, TN 37403 | 2012-09-20 |
| 1063773521 | Shelley L Murphy | Emergency Medicine | 1018 Blackford Street, Chattanooga, TN 37403 | 2012-05-31 |
| Find all providers in zip 37403 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439575 | Nancy Anne West | Nurse Practitioner | 910 Blackford St, Chattanooga, TN 37403-1405 | 2019-10-24 |
| 1881236578 | Erin J Hall | Nurse Practitioner | 910 Blackford St, Chattanooga, TN 37403-1405 | 2019-10-14 |
| 1942841697 | Jaime Lynn Scott | Nurse Practitioner | 910 Blackford St, Chattanooga, TN 37403-1405 | 2019-10-03 |
| 1881241354 | Mary Maureen Mcintosh | Nurse Practitioner | 910 Blackford St, Chattanooga, TN 37403-1405 | 2019-08-20 |
| 1578026837 | Amber M. Ridge | Nurse Practitioner | 910 Blackford St, Chattanooga, TN 37403-1405 | 2019-04-12 |
| 1780147116 | Carley Houser | Nurse Practitioner | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2019-04-11 |
| 1528530789 | Joseph Christopher Mcgough | Nurse Practitioner | 910 Blackford St, Chattanooga, TN 37403-1405 | 2018-12-27 |
| 1740751189 | Kathryn Carter | Nurse Practitioner | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2018-12-11 |
| 1467997569 | Holly Rogers | Nurse Practitioner | 975 E 3rd St, Box 159, Chattanooga, TN 37403-2147 | 2016-12-27 |
| 1316315542 | Teresa Walker | Nurse Practitioner | 902 Mccallie Ave, Chattanooga, TN 37403-2724 | 2015-09-03 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37403 |
Please comment or provide details below to improve the information on KRISTY BORUM.
| 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.