Active NPI
Joni Dawn Van Horn, RN
- Cardiovascular Disease Physician
- Glendale, AZ
National Provider Identifier
1386309110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- RN081480
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN081480 | AZ | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Heart Ambulatory Surgery and Electrophysiology, LLC | Cardiovascular Disease | Current | 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.
-
dba PHASE Surgery Center
- Ambulatory Surgical Clinic/Center
- Glendale, AZ
- NPI 1760064885
Cardiovascular Disease
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.