MRS. SHIRLEY BOROM R.N.
NPI 1649540261
Registered Nurse in Gary, IN

Q: What is Shirley Borom's NPI number?

The NPI number for Shirley Borom is 1649540261. It was assigned to this individual provider in the NPPES registry on January 12, 2012.

Q: What is Shirley Borom's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Shirley Borom was last updated on January 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 12, 2012

1145 W 5TH AVE, GARY, IN 46402(219) 882-5565(219) 882-8213 Get Directions Write a Review

NPPES record last updated: January 12, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Shirley Borom R.n. NPPES

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

MRS. SHIRLEY BOROM R.N. (NPI 1649540261) is an individual registered nurse in Gary, Indiana, licensed in Indiana (28093654A) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1649540261

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameMRS. SHIRLEY BOROMCredential: R.N.

Location Address1145 W 5TH AVEGary, IN 46402-1704

Mailing Address1145 W 5th AveGary, IN 46402-1704 · (219) 882-5565 · Fax (219) 882-8213

Phone(219) 882-5565

Fax(219) 882-8213

Sole ProprietorNo

Enumeration DateJanuary 12, 2012

✔ NPI 1649540261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in IN · 28093654A

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License 28093654A (IN)

1145 W 5TH AVE, Gary, IN 46402

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Other Identifiers 1

Medicaid100142050AIN

Other Providers at the Same Location NPPES 2

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

MS. SHARON R TOTTEN NP

Nurse Practitioner (Family)

1145 W 5TH AVE
GARY, IN 46402

Lake County (219) 239-2319

GARY HEALTH DEPARTMENT

Registered Nurse

1145 W 5TH AVE
GARY, IN 46402

Lake County (219) 882-5565

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 Shirley Borom's NPI number?

The NPI number for Shirley Borom is 1649540261. It was assigned to this individual provider in the NPPES registry on January 12, 2012.

Where is Shirley Borom located?

Shirley Borom practices at 1145 W 5th Ave, Gary, IN 46402. The listed phone number is (219) 882-5565.

What is Shirley Borom's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Shirley Borom was last updated on January 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.