Individual provider Active NPI

Joni Dawn Van Horn, RN

  • Cardiovascular Disease Physician
  • Glendale, AZ
National Provider Identifier
1386309110
Registry record updated Nov 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
RN081480 Issued in AZ
Practice address
5859 W Talavi Blvd Ste 140
Glendale, AZ 85306-1871
Phone
(602) 806-0357
NPI assigned
Nov 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X RN081480 AZ Primary

Addresses

Primary practice location

5859 W Talavi Blvd Ste 140
Glendale, AZ 85306-1871

Mailing address

5859 W Talavi Blvd Ste 140
Glendale, AZ 85306-1871
Phone (602) 806-0357

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN081480AZMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Heart Ambulatory Surgery and Electrophysiology, LLC Cardiovascular Disease CurrentSince Nov 16, 2021 Accepting new patients

Locations

5859 W Talavi Blvd
Ste 140
Glendale, AZ 85306
Phone (602) 741-1903

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": "1636156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636156800000",
    "number": "1386309110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5859 W TALAVI BLVD STE 140",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853061871",
            "telephone_number": "602-806-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5859 W TALAVI BLVD STE 140",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853061871",
            "telephone_number": "602-806-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN HORN",
        "first_name": "JONI",
        "middle_name": "DAWN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-06",
        "last_updated": "2021-11-06",
        "certification_date": "2021-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "RN081480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2021; 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.