Individual provider Active NPI

Tabatha L Horner, NP

  • Family Nurse Practitioner
  • Roxboro, NC
National Provider Identifier
1316223316
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5005393 Issued in NC
Practice address
609 Professional Dr
Roxboro, NC 27573-4543
Phone
(336) 599-9257
Fax
(336) 599-2716
NPI assigned
Oct 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5005393 NC Primary

Addresses

Primary practice location

609 Professional Dr
Roxboro, NC 27573-4543

Mailing address

609 Professional Dr
Roxboro, NC 27573-4543
Phone (336) 599-9257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20141208000718 NC Order and Referring Only - Nurse Practitioner 5193047835

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5005393NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North State Medical Center PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tabatha.horner@nsmc.eclinicaldirectplus.com

Organizations & group practices 1

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": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1316223316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 PROFESSIONAL DR",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734543",
            "telephone_number": "336-599-9257",
            "fax_number": "336-599-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 PROFESSIONAL DR",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734543",
            "telephone_number": "336-599-9257",
            "fax_number": "336-599-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNER",
        "first_name": "TABATHA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-24",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxboro, NC

Sources for this page

Verify at the official NPI Registry.