Individual provider Active NPI

Natalie Jeanne Horner, PTA

  • Contractor
  • San Diego, CA
National Provider Identifier
1023391018
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
06003122A Issued in IN
Practice address
2355 Northside Dr
Suite 140
San Diego, CA 92108-2705
Phone
(800) 458-7777
Fax
(800) 863-2978
NPI assigned
Sep 26, 2011
Last updated
Sep 26, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 06003122A IN Primary

Addresses

Primary practice location

2355 Northside Dr
Suite 140
San Diego, CA 92108-2705

Mailing address

7210 Kimble Dr
Indianapolis, IN 46217-7151
Phone (317) 373-8066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
06003122AINMDContractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1023391018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 KIMBLE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462177151",
            "telephone_number": "317-373-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 NORTHSIDE DR",
            "address_2": "SUITE 140",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921082705",
            "telephone_number": "800-458-7777",
            "fax_number": "800-863-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNER",
        "first_name": "NATALIE",
        "middle_name": "JEANNE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "IN",
            "license": "06003122A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.