Horizon Pediatrics, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

HORIZON PEDIATRICS, LLC

Practice address

611 Demorest St SE
Live Oak, FL 32064-3322

Phone

(386) 362-5437

Fax

(386) 362-5440

NPI assigned

Nov 24, 2008

Last updated

Nov 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Amber S. Ingram, ARNP

Title

Manager

Phone

(386) 362-5437

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amber Ingram Chauncey, ARNP

  • Pediatric Nurse Practitioner
  • Live Oak, FL
  • NPI 1043219645
  NPD (past)

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1144475823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 DEMOREST ST SE",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320643322",
            "telephone_number": "386-362-5437",
            "fax_number": "386-362-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 DEMOREST ST SE",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320643322",
            "telephone_number": "386-362-5437",
            "fax_number": "386-362-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "386-362-5437",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Live Oak, FL
• Providers in Live Oak, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.