Individual provider Active NPI

David Horne, PARAMEDIC

  • Addiction (Substance Use Disorder) Counselor
  • Palmer, AK
National Provider Identifier
1154918134
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
123456789 Issued in AK
Practice address
9105 N Liten Gata Cir
Palmer, AK 99645-9220
Phone
(907) 390-0949
NPI assigned
Dec 24, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ParamedicGroup: 193200000X MULTI-SPECIALTY GROUP 146L00000X 142653 AK
Addiction (Substance Use Disorder) Counselor 101YA0400X 123456789 AK Primary

Addresses

Primary practice location

9105 N Liten Gata Cir
Palmer, AK 99645-9220

Mailing address

9105 N Liten Gata Cir
Palmer, AK 99645-9220
Phone (907) 390-0949

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

LicenseStateTypeSpecialty
123456789AKMDAddiction (Substance Use Disorder) Counselor
142653AKMDParamedic

Practice roles

OrganizationSpecialtyStatusNew patients
Weka LLC Emergency Medical Technician, Paramedic PastSince Dec 27, 2020 Accepting new patients

Organizations & group practices 1

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": "1608768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1154918134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9105 N LITEN GATA CIR",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996459220",
            "telephone_number": "907-390-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 N LITEN GATA CIR",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996459220",
            "telephone_number": "907-390-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNE",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PARAMEDIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-24",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "AK",
            "license": "142653",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AK",
            "license": "123456789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.