Individual provider Active NPI

Tomera Horton, LPN

  • Licensed Practical Nurse
  • Spartanburg, SC
National Provider Identifier
1043816747
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN.175943.MEDS-IV Issued in OH
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

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
LPN.175943.MEDS-IVOHMDLicensed Practical Nurse
53136SCMDLicensed 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.

Verify at the official NPI Registry.