Jarrid Dean Horn, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00008352 Issued in WA

Practice address

1812 Sumner Ave Ste D
Aberdeen, WA 98520-4602

Phone

(360) 533-0044

Fax

(360) 533-0549

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• M Saleem Memon MD PS

  • Health Service Clinic/Center
  • Aberdeen, WA
  • NPI 1588624795
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154408482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 SUMNER AVE STE D",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985204602",
            "telephone_number": "360-533-0044",
            "fax_number": "360-533-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 SUMNER AVE STE D",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985204602",
            "telephone_number": "360-533-0044",
            "fax_number": "360-533-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORN",
        "first_name": "JARRID",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00008352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR & INDUSTRY",
            "identifier": "0208017",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Hoggard, PTA
• Christina M Holland, LMFT
• Gradie Melissa Hollier, SUDPT
• Robert C. Holt, LMHC, MS
• Christina Louise Hopkins
• Sierra Horne, CPC
• Riley Houser
• Robert L Hovancsek, DPM
• Suzanne Howard, PTA
• Randall D. Howerton, MD

• Specialist in Aberdeen, WA
• Providers in Aberdeen, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.