Individual provider Active NPI

Joyce Ann Vanderhorst, R.N.

  • School Registered Nurse
  • Cottonwood, AZ
National Provider Identifier
1396053476
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN104600 Issued in AZ
Practice address
1 N Willard St
Cottonwood Elementary School
Cottonwood, AZ 86326-3651
Phone
(928) 202-6682
NPI assigned
Sep 22, 2010
Last updated
Jan 13, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN104600 AZ
School Registered Nurse 163WS0200X RN104600 AZ Primary

Addresses

Primary practice location

1 N Willard St
Cottonwood Elementary School
Cottonwood, AZ 86326-3651

Mailing address

1 N Willard St
Cottonwood Elementary School
Cottonwood, AZ 86326-3651
Phone (928) 634-7209

Other names 1

  • Joyce Jacobs Vanderhorst Former name

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
RN104600AZMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1396053476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N WILLARD ST",
            "address_2": "COTTONWOOD ELEMENTARY SCHOOL",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863263651",
            "telephone_number": "928-634-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N WILLARD ST",
            "address_2": "COTTONWOOD ELEMENTARY SCHOOL",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863263651",
            "telephone_number": "928-202-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERHORST",
        "first_name": "JOYCE",
        "middle_name": "ANN",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-22",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN104600",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN104600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOYCE",
            "last_name": "VANDERHORST",
            "middle_name": "JACOBS",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cottonwood, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.