Active NPI
Rebecca Lyn Horne, NP-C
- Nurse Practitioner
- Lewiston, ID
National Provider Identifier
1255800462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 60114
- Practice address
- 2315 8TH St
Lewiston, ID 83501-7301 - Phone
- (208) 746-1383
- Fax
- (208) 746-6348
- NPI assigned
- Nov 16, 2018
- Last updated
- Jan 8, 2019
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 60114 | ID | Primary |
Addresses
Primary practice location
2315 8TH St
Lewiston, ID 83501-7301
Mailing address
2315 8TH St
Lewiston, ID 83501-7301
Phone (208) 746-1383
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912458787 | Other | ID | GROUP NPI |
| 1255800462 | Medicaid | ID | |
| 1255800462 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220107000866 | ID | Order and Referring Only - Nurse Practitioner | 2567702772 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546905600000",
"number": "1255800462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 8TH ST",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835017301",
"telephone_number": "208-746-1383",
"fax_number": "208-746-6348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 8TH ST",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835017301",
"telephone_number": "208-746-1383",
"fax_number": "208-746-6348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORNE",
"first_name": "REBECCA",
"middle_name": "LYN",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-16",
"last_updated": "2019-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "60114",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1912458787",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1255800462",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1255800462",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ID
- Stephen W Holm, DMD
- Tayler Lyndsey Holman, NP
- Thomas Stephenson Holmes, M.D.
- Mandy Lea Hopkins, RN
- Sheri Katherine Horan, MSW, LCSW, LICSW
- Jill R Hosking
- Hospitalist Medicine Physicians of Idaho- Nampa PLLC
- Hospitalist Medicine Physicians of Idaho-TCG, PLLC
- Jamie Hovey-Smith, B.S. IN PSYCHOLOGY
- Janette Howarth, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.