Individual provider Active NPI

Victoria Marie Horn, MSN, APRN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1083326052
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
71013403A Issued in IN
Practice address
8101 Clearvista Pkwy Ste 185
Indianapolis, IN 46256-4691
Phone
(317) 621-7000
NPI assigned
Dec 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28278076A IN
Pediatric Nurse Practitioner 363LP0200X 71013403A IN Primary

Addresses

Primary practice location

8101 Clearvista Pkwy Ste 185
Indianapolis, IN 46256-4691

Mailing address

8101 Clearvista Pkwy Ste 185
Indianapolis, IN 46256-4691
Phone (317) 621-9000

Other practice location 1

9669 E 146th St Ste 300
Noblesville, IN 46060-5006
Phone (317) 621-9000

Other names 1

  • Victoria Marie Sage Former name

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
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
28278076AINMDRegistered Nurse
71013403AINMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1083326052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 CLEARVISTA PKWY STE 185",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462564691",
            "telephone_number": "317-621-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 CLEARVISTA PKWY STE 185",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462564691",
            "telephone_number": "317-621-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9669 E 146th St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Noblesville",
            "state": "IN",
            "postal_code": "460605006",
            "country_code": "US",
            "telephone_number": "317-621-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORN",
        "first_name": "VICTORIA",
        "middle_name": "MARIE",
        "credential": "MSN, APRN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28278076A",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "71013403A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "SAGE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.