Active NPI
Tara Horton
- School Social Worker
- Cadillac, MI
National Provider Identifier
1104383215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 6801098594
- Practice address
- 8216 S 35 Rd
Cadillac, MI 49601-8958 - Phone
- (231) 878-9177
- NPI assigned
- Feb 25, 2019
- 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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 6801098594 | MI | Primary |
Addresses
Primary practice location
8216 S 35 Rd
Cadillac, MI 49601-8958
Mailing address
8216 S 35 Rd
Cadillac, MI 49601-8958
Phone (231) 878-9177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13579 | Medicaid | MI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801098594 | MI | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551052800000",
"number": "1104383215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8216 S 35 RD",
"city": "CADILLAC",
"state": "MI",
"postal_code": "496018958",
"telephone_number": "231-878-9177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8216 S 35 RD",
"city": "CADILLAC",
"state": "MI",
"postal_code": "496018958",
"telephone_number": "231-878-9177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORTON",
"first_name": "TARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-25",
"last_updated": "2019-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MI",
"license": "6801098594",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13579",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cadillac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.