Active NPI
Horizon Primary Care LLC
- Primary Care Nurse Practitioner
- Vandalia, OH
National Provider Identifier
1184015737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0130133 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
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
- Christal Hipsher, LPN
- Hocks Pharmacy Inc (Hocks Medical Supplies)
- Hocks Pharmacy Inc (Hocks Vandalia Pharmacy)
- Hocks Wellness Consulting LLC
- Horizon Home Healthcare, LLC.
- Horizons Mindharbor Counseling, LLC
- Horizons Mindharbor Counseling, LLC
- Alainey Nickole Howard
- Haley Nicole Hudson
- Kamra Huffman, NP
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.