Organization Active NPI

Horizon Primary Care LLC

  • Primary Care Nurse Practitioner
  • Vandalia, OH
National Provider Identifier
1184015737
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
HORIZON PRIMARY CARE LLC
Practice address
400 Corporate Center Dr
Vandalia, OH 45377-1164
Phone
(937) 387-9168
Fax
(937) 387-9224
NPI assigned
Feb 17, 2015
Last updated
Feb 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Authorized official

Name
Nichole M Hardin, RN
Title
Sole Member
Phone
(937) 264-3155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X NU Primary

Addresses

Primary practice location

400 Corporate Center Dr
Vandalia, OH 45377-1164

Mailing address

400 Corporate Center Dr
Vandalia, OH 45377-1164
Phone (937) 387-9168

Other identifiers 1

IdentifierTypeStateIssuer
0130133MedicaidOH

National Provider Directory

National Provider Directory

Locations

731 Central Ave
Carlisle, OH 45005
Phone (513) 746-2813

400 Corporate Center Dr
Vandalia, OH 45377
Phone (937) 410-3838

NPI Registry JSON

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1184015737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CORPORATE CENTER DR",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453771164",
            "telephone_number": "937-387-9168",
            "fax_number": "937-387-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CORPORATE CENTER DR",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453771164",
            "telephone_number": "937-387-9168",
            "fax_number": "937-387-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-17",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "937-264-3155",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0130133",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vandalia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.