Active NPI
Magdalena Anna Horn, NP
- Nurse Practitioner
- Burlington, WI
National Provider Identifier
1063651339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 6924
- Practice address
- 248 McHenry St
Burlington, WI 53105-1828 - Phone
- (262) 767-8000
- NPI assigned
- Feb 11, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 6924 | WI | Primary |
Addresses
Primary practice location
248 McHenry St
Burlington, WI 53105-1828
Mailing address
248 McHenry St
Burlington, WI 53105-1828
Phone (262) 767-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063651339 | Medicaid | WI |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6924 | WI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465516800000",
"number": "1063651339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "248 MCHENRY ST",
"city": "BURLINGTON",
"state": "WI",
"postal_code": "531051828",
"telephone_number": "262-767-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "248 MCHENRY ST",
"city": "BURLINGTON",
"state": "WI",
"postal_code": "531051828",
"telephone_number": "262-767-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORN",
"first_name": "MAGDALENA",
"middle_name": "ANNA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-11",
"last_updated": "2016-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "6924",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1063651339",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burlington, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.