Active NPI
Vital Health Nurse Practitioner in Family Health PLLC
- Family Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1063396919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- VITAL HEALTH NURSE PRACTITIONER IN FAMILY HEALTH PLLC
- Practice address
- 732 E 45TH St
Brooklyn, NY 11203-5720 - Phone
- (877) 258-6331
- Fax
- (718) 362-1651
- NPI assigned
- Aug 4, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donnica Horne, NP
- Title
- Owner
- Phone
- (718) 362-1411
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
732 E 45TH St
Brooklyn, NY 11203-5720
Mailing address
612 Corporate Way Ste 2M
Valley Cottage, NY 10989-2027
Phone (718) 362-1411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754265600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754265600000",
"number": "1063396919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 CORPORATE WAY STE 2M",
"city": "VALLEY COTTAGE",
"state": "NY",
"postal_code": "109892027",
"telephone_number": "718-362-1411",
"fax_number": "718-362-1651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "732 E 45TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112035720",
"telephone_number": "877-258-6331",
"fax_number": "718-362-1651"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAL HEALTH NURSE PRACTITIONER IN FAMILY HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-04",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A",
"authorized_official_last_name": "HORNE",
"authorized_official_first_name": "DONNICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-362-1411",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.