Individual provider Active NPI

Colleen Mary Horace, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Valley Stream, NY
National Provider Identifier
1235934068
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
354408 Issued in NY
Practice address
260 W Sunrise Hwy FL 3
Valley Stream, NY 11581-1011
Phone
(718) 732-4049
NPI assigned
Feb 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 354408 NY Primary

Addresses

Primary practice location

260 W Sunrise Hwy FL 3
Valley Stream, NY 11581-1011

Mailing address

68 William St
Rockville Centre, NY 11570-2526

Other practice location 1

50 N Park Ave Ste 200
Rockville Centre, NY 11570-4129
Phone (516) 336-5255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250303002424 NY Practitioner - Nurse Practitioner 1557882842 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Hematology Oncology Associates PC Single Specialty CurrentSince Mar 1, 2025 Accepting new patients
North Shore Hematology Oncology Associates PC Single Specialty Past Accepting new patients

Locations

3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

1 Research Rd
Ridge, NY 11961

50 N Park Ave
Ste 200
Rockville Centre, NY 11570
Phone (516) 336-5255

50 N Park Ave
Rockville Centre, NY 11570

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

260 W Sunrise Hwy
Fl 3
Valley Stream, NY 11581
Phone (516) 336-5255

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

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": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1235934068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 WILLIAM ST",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115702526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 W SUNRISE HWY FL 3",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811011",
            "telephone_number": "718-732-4049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 N Park Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Rockville Centre",
            "state": "NY",
            "postal_code": "115704129",
            "country_code": "US",
            "telephone_number": "516-336-5255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORACE",
        "first_name": "COLLEEN",
        "middle_name": "MARY",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "354408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.