Active NPI
Karen Johnson Horne, MS
- Speech-Language Pathologist
- Fayetteville, NC
National Provider Identifier
1174096697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6059
- Practice address
- 4602 Cumberland Rd
Fayetteville, NC 28306-2412 - Phone
- (910) 423-5622
- Fax
- (910) 378-1755
- NPI assigned
- Jan 8, 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6059 | NC | Primary |
Addresses
Primary practice location
4602 Cumberland Rd
Fayetteville, NC 28306-2412
Mailing address
275 Saint Johns Wood
Fayetteville, NC 28303-4975
Phone (919) 819-1072
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6059 | Other | NC | NC SLP LICENSE |
Other names 1
- Miss Karen Elizabeth Johnson
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6059 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546905600000",
"number": "1174096697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 SAINT JOHNS WOOD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283034975",
"telephone_number": "919-819-1072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4602 CUMBERLAND RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283062412",
"telephone_number": "910-423-5622",
"fax_number": "910-378-1755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORNE",
"first_name": "KAREN",
"middle_name": "JOHNSON",
"name_prefix": "Mrs.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-08",
"last_updated": "2019-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "6059",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC SLP LICENSE",
"identifier": "6059",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "JOHNSON",
"middle_name": "ELIZABETH",
"prefix": "MISS",
"credential": "MS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.