Active NPI
Debora Horne, NP
- Family Nurse Practitioner
- Fremont, OH
National Provider Identifier
1578617403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 309375
- Practice address
- 715 S Taft Ave
Fremont, OH 43420-3200 - Phone
- (419) 334-6657
- Fax
- (419) 334-6637
- NPI assigned
- Jan 22, 2007
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 309375 | OH | Primary |
Addresses
Primary practice location
715 S Taft Ave
Fremont, OH 43420-3200
Mailing address
230 Saint Thomas Dr
Fremont, OH 43420-9289
Phone (419) 355-1594
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 309375 | OH | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578617403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 SAINT THOMAS DR",
"city": "FREMONT",
"state": "OH",
"postal_code": "434209289",
"telephone_number": "419-355-1594",
"fax_number": "419-334-6637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 S TAFT AVE",
"city": "FREMONT",
"state": "OH",
"postal_code": "434203200",
"telephone_number": "419-334-6657",
"fax_number": "419-334-6637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORNE",
"first_name": "DEBORA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "309375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.