Active NPI
Katie Horner, NP
- Nurse Practitioner
- Bismarck, ND
National Provider Identifier
1609277144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R33579
- Practice address
- 4503 Coleman St
Suite 208
Bismarck, ND 58503-2006 - Phone
- (701) 354-0964
- Fax
- (701) 354-0966
- NPI assigned
- Sep 15, 2014
- Last updated
- Oct 20, 2015
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R33579 | ND | Primary |
Addresses
Primary practice location
4503 Coleman St
Suite 208
Bismarck, ND 58503-2006
Mailing address
4503 Coleman St
Suite 208
Bismarck, ND 58503-2006
Phone (701) 354-0964
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2025 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445299200000",
"number": "1609277144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4503 COLEMAN ST",
"address_2": "SUITE 208",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585032006",
"telephone_number": "701-354-0964",
"fax_number": "701-354-0966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4503 COLEMAN ST",
"address_2": "SUITE 208",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585032006",
"telephone_number": "701-354-0964",
"fax_number": "701-354-0966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORNER",
"first_name": "KATIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-15",
"last_updated": "2015-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ND",
"license": "R33579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.