Active NPI
Nereyda Horton, N.P.
- Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1083776033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 457622
- Practice address
- 3518 W 8TH St
Los Angeles, CA 90005-2902 - Phone
- (213) 384-9949
- NPI assigned
- Dec 15, 2006
- 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 | 457622 | CA | Primary |
Addresses
Primary practice location
3518 W 8TH St
Los Angeles, CA 90005-2902
Mailing address
2829 S Grand Ave
Los Angeles, CA 90007-3304
Phone (323) 562-6170
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 |
|---|---|---|---|
| 8065 | CA | MD | Occupational Therapist |
| 457622 | CA | MD | Nurse Practitioner |
Interoperability endpoints
- nereyda.horton.p1@direct.ccchcenter.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532217600000",
"number": "1083776033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2829 S GRAND AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900073304",
"telephone_number": "323-562-6170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3518 W 8TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900052902",
"telephone_number": "213-384-9949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORTON",
"first_name": "NEREYDA",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2018-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "457622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.