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EVETTA LAVERN BORDEN DPM
NPI 1215946702
Podiatrist - Foot Surgery in Shreveport, LA

Active since August 05, 2006PECOS Enrolled
510 E STONER AVE, SHREVEPORT, LA 71101(912) 977-0584 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 1, 2023, Mar 6, 2019 (2 updates tracked since 2019).

About Evetta Lavern Borden Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVETTA LAVERN BORDEN DPM (NPI 1215946702) is an individual foot surgery provider in Shreveport, Louisiana, licensed in Georgia (POD000770) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215946702
Entity TypeIndividualFemale
Primary Taxonomy213ES0131X
Provider Legal NameEVETTA LAVERN BORDENCredential: DPM
Location Address510 E STONER AVEShreveport, LA 71101-4243
Mailing Address614 Westmoreland DrHinesville, GA 31313-4419 · (912) 977-0584
Phone(912) 977-0584
Sole ProprietorNo
Enumeration DateAugust 5, 2006
Last NPPES UpdateSeptember 1, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2023
✔ NPI 1215946702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in GA · POD000770
510 E STONER AVE, Shreveport, LA 71101
Open in Google Maps ↗

Other Identifiers 1

Medicaid00719804BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evetta Lavern Borden Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IGNATIUS NNADIOTU
Pharmacist
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
DR. DARLENE ROQUE COOK
Pharmacist
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 990-5228
NANCY DUGGAN RN
Registered Nurse
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
MICHAEL SCHROEDER
Counselor (Professional)
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
KARL REICHTER LICSW
Social Worker (Clinical)
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (319) 990-4401
SANJAY JAIN
Internal Medicine
510 E STONER AVE, PRIMARY CARE (110)
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
DR. SRINIVAS POTTURI M.D.,
Radiology (Diagnostic Radiology)
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
MRS. KELLY ANN WALLS LPN
Licensed Practical Nurse
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evetta Borden's NPI number?

The NPI number for Evetta Borden is 1215946702. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Evetta Borden located?

Evetta Borden practices at 510 E Stoner Ave, Shreveport, LA 71101. The listed phone number is (912) 977-0584.

What is Evetta Borden's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Evetta Borden enrolled in Medicare?

Yes. Evetta Borden is registered in the Medicare PECOS enrollment system.

What insurance does Evetta Borden accept?

Health plans from HMO Louisiana list Evetta Borden as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evetta Borden was last updated on September 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.