Individual Healthcare Provider
Carmen Patricia Born, PMHNP-BC, RN, LMT
Provider's NPPES record last updated: March 21, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1053798199
- Primary Specialty
- Nurse Practitioner — Psychiatric/Mental Health
- Practice Location
- Maricopa, Arizona
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 3:39 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Psychiatric/Mental Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LP0808X Massage Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Taxonomy code 225700000X
Provider-Reported License Information
- Nurse Practitioner (Arizona)
- 295014
- Massage Therapist (Arizona)
- 29408
Practice Locations
Practice Location
35641 W Costa Blanca Dr
Maricopa, Arizona 85138-5869
Phone: (443) 823-5908
Record Information
- Enumeration Date
- April 28, 2015
- Provider's NPPES Record Last Updated
- March 21, 2024
- Certification Date
- March 21, 2024
- NPISignal NPPES Dataset
- August 2026
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