Kacey Jo Horn, APRN, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A004088 Issued in AR

Practice address

1889 Falcon Way
Benton, AR 72015-3115

Phone

(501) 672-4732

Fax

(501) 315-8434

NPI assigned

Nov 11, 2014

Last updated

Nov 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthy Connections Incorporated

  • Federally Qualified Health Center (FQHC)
  • Texarkana, AR
  • NPI 1518694538
  NPD (past)

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1528464054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1889 FALCON WAY",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153115",
            "telephone_number": "501-672-4732",
            "fax_number": "501-315-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1889 FALCON WAY",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153115",
            "telephone_number": "501-672-4732",
            "fax_number": "501-315-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORN",
        "first_name": "KACEY",
        "middle_name": "JO",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-11",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206200758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Lynn Hood, LCSW
• Amanda Hoolapa, CMP
• Lea Ann Hopper, OTR
• Hattie Hopson, CMP
• Roderick Hopson
• Claudia Hornbeck
• Karen Horsley, RECOVERY ASSISTANT
• Angela House, DIETARY
• Larry Houston-Huff
• August Howard, HOUSEKEEPING

• Family Nurse Practitioner in Benton, AR
• Providers in Benton, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.