Active NPI
Clifton Frederick Horrell IV
- Lodging Provider
- Loveland, CO
National Provider Identifier
1245880467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lodging Provider
- Practice address
- 1500 Cheyenne Ave
Loveland, CO 80538-4264 - Phone
- (970) 581-1630
- NPI assigned
- Sep 19, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Lodging Provider | 177F00000X | CO | Primary |
Addresses
Primary practice location
1500 Cheyenne Ave
Loveland, CO 80538-4264
Mailing address
1500 Cheyenne Ave
Loveland, CO 80538-4264
Phone (970) 581-1630
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568851200000",
"number": "1245880467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 CHEYENNE AVE",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805384264",
"telephone_number": "970-581-1630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 CHEYENNE AVE",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805384264",
"telephone_number": "970-581-1630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORRELL",
"first_name": "CLIFTON",
"middle_name": "FREDERICK",
"name_suffix": "IV",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-19",
"last_updated": "2019-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": "CO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loveland, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.