Mary Beth Horst, NP
Individual provider Active NPI Nurse Practitioner · Hardy, VA
NPI 1013091065 · NPPES record last updated Mar 28, 2016
Key facts
- NPI
- 1013091065
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 0024165688 (VA)
- Practice address
- 282 Westlake Rd
Hardy, VA 24101-3967 - Phone
- (540) 721-2689
- Fax
- (540) 721-3718
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024165688 | VA | MD | Nurse Practitioner |
Interoperability endpoints
- mhorst58297@direct.carilionclinic.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024165688 | VA | Yes |
Addresses
Primary practice location
282 Westlake Rd
Hardy, VA 24101-3967
Mailing address
282 Westlake Rd
Hardy, VA 24101-3967
Phone (540) 721-2689
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010141508 | Medicaid | VA |
Other providers in Hardy, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.