Individual provider Active NPI

Martha Carol Horton, L.P.N.

  • Licensed Practical Nurse
  • Liverpool, NY
National Provider Identifier
1265636724
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
098129-1 Issued in NY
Practice address
8406C Shallowcreek Rd
Liverpool, NY 13090-1320
Phone
(315) 622-2262
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
Yes

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

LicenseStateTypeSpecialty
098129-1NYMDLicensed Practical Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 098129-1 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

8406C Shallowcreek Rd
Liverpool, NY 13090-1320

Mailing address

8406C Shallowcreek Rd
Liverpool, NY 13090-1320
Phone (315) 622-2262

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
02126983MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265636724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8406C SHALLOWCREEK RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901320",
            "telephone_number": "315-622-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8406C SHALLOWCREEK RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901320",
            "telephone_number": "315-622-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORTON",
        "first_name": "MARTHA",
        "middle_name": "CAROL",
        "credential": "L.P.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "098129-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02126983",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.