Individual provider Active NPI

Katherine Alexandra Van Horne, NP

  • Acute Care Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1083948855
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
3007110 Issued in KY
Practice address
800 Rose St
Cc180 a Roach Building
Lexington, KY 40536-0093
Phone
(859) 323-2753
NPI assigned
Sep 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN278940 MA
Nurse Practitioner 363L00000X 278940 MA
Acute Care Nurse Practitioner 363LA2100X 3007110 KY Primary

Addresses

Primary practice location

800 Rose St
Cc180 a Roach Building
Lexington, KY 40536-0093

Mailing address

800 Rose St
Cc180 a Roach Building
Lexington, KY 40536-0093
Phone (859) 323-2753

Other identifiers 1

IdentifierTypeStateIssuer
110083789AMedicaidMA

Other names 1

  • Katherine Alexandra Dorval 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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
278940MAMDInfectious Disease Physician
3007110KYMDAcute Care Nurse Practitioner
RN278940MAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lahey Clinic, Inc. Past Accepting new patients
Lahey Clinic, Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1083948855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROSE ST",
            "address_2": "CC180 A ROACH BUILDING",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360093",
            "telephone_number": "859-323-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST",
            "address_2": "CC180 A ROACH BUILDING",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360093",
            "telephone_number": "859-323-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN HORNE",
        "first_name": "KATHERINE",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MA",
            "license": "RN278940",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "278940",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "3007110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110083789A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "DORVAL",
            "middle_name": "ALEXANDRA",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.