Active NPI
Elizabeth Horsley
- Psychologist
- Kings Mountain, NC
National Provider Identifier
1245569045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2143
- Practice address
- 105 Regal Dr
Lower Level Suite 3
Kings Mountain, NC 28086-3466 - Phone
- (704) 575-2702
- Fax
- (803) 547-2740
- NPI assigned
- Dec 8, 2009
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2143 | NC | Primary |
Addresses
Primary practice location
105 Regal Dr
Lower Level Suite 3
Kings Mountain, NC 28086-3466
Mailing address
617 Bracket St
Fort Mill, SC 29708-6459
Phone (704) 575-2702
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2143 | NC | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260230400000",
"number": "1245569045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 BRACKET ST",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297086459",
"telephone_number": "704-575-2702",
"fax_number": "803-547-2740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 REGAL DR",
"address_2": "LOWER LEVEL SUITE 3",
"city": "KINGS MOUNTAIN",
"state": "NC",
"postal_code": "280863466",
"telephone_number": "704-575-2702",
"fax_number": "803-547-2740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORSLEY",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-08",
"last_updated": "2009-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "2143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kings Mountain, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.