Active NPI
Amy D Horner, MPH, RD, CLC, RDN
- Registered Dietitian
- Whitehall, MT
National Provider Identifier
1225420151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 408
- Practice address
- 67 S Lewis and Clark TRL
Whitehall, MT 59759-9547 - Phone
- (406) 209-3995
- Fax
- (406) 451-0551
- NPI assigned
- Mar 2, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 408 | MT | Primary |
Addresses
Primary practice location
67 S Lewis and Clark TRL
Whitehall, MT 59759-9547
Mailing address
67 S Lewis and Clark TRL
Whitehall, MT 59759-9547
Phone (406) 209-3995
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 408 | MT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Traveling Mama Enterprises, LLC | Nutritionist | Current | 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": "1425254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1225420151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 S LEWIS AND CLARK TRL",
"city": "WHITEHALL",
"state": "MT",
"postal_code": "597599547",
"telephone_number": "406-209-3995",
"fax_number": "406-451-0551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 S LEWIS AND CLARK TRL",
"city": "WHITEHALL",
"state": "MT",
"postal_code": "597599547",
"telephone_number": "406-209-3995",
"fax_number": "406-451-0551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORNER",
"first_name": "AMY",
"middle_name": "D",
"credential": "MPH, RD, CLC, RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-02",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MT",
"license": "408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitehall, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.