Active NPI
Tomera Horton, LPN
- Licensed Practical Nurse
- Spartanburg, SC
National Provider Identifier
1043816747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LPN.175943.MEDS-IV
- Practice address
- 716 Union St # 1068
Spartanburg, SC 29306-3629 - Phone
- (864) 652-5588
- NPI assigned
- Dec 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 53136 | SC | |
| Licensed Practical Nurse | 164W00000X | LPN.175943.MEDS-IV | OH | Primary |
Addresses
Primary practice location
716 Union St # 1068
Spartanburg, SC 29306-3629
Mailing address
716 Union St # 1068
Spartanburg, SC 29306-3629
Phone (864) 652-5588
Other practice location 1
4644 E 104th St
Garfield Heights, OH 44125-1576
Phone (216) 758-0407
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tomera.horton@holisticnurse.info | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPN.175943.MEDS-IV | OH | MD | Licensed Practical Nurse |
| 53136 | SC | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685664000000",
"number": "1043816747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 UNION ST # 1068",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293063629",
"telephone_number": "864-652-5588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 UNION ST # 1068",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293063629",
"telephone_number": "864-652-5588"
}
],
"practiceLocations": [
{
"address_1": "4644 E 104th St",
"address_purpose": "LOCATION",
"city": "Garfield Heights",
"state": "OH",
"postal_code": "441251576",
"country_code": "US",
"telephone_number": "216-758-0407",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HORTON",
"first_name": "TOMERA",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-08",
"last_updated": "2023-06-02",
"certification_date": "2023-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "SC",
"license": "53136",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "LPN.175943.MEDS-IV",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tomera.horton@holisticnurse.info",
"affiliation": "N",
"endpointDescription": "Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "716 Union St # 1068",
"city": "Spartanburg",
"state": "SC",
"country_code": "US",
"postal_code": "293063629",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.