Mandy Lee Horner, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

209347 Issued in NC

Practice address

101 Donald Ross Dr
Raleigh, NC 27610-2593

Phone

(919) 250-3320

Fax

(919) 250-3322

NPI assigned

Nov 20, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18383/brand/1/csg/1/fhir/r4

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.

• Alliance Medical Ministry

  • Family Medicine Physician
  • Raleigh, NC
  • NPI 1992363758
  NPD
• Urban Ministries

  • Voluntary or Charitable Agency
  • Raleigh, NC
  • NPI 1205211471
  NPD (past)
• Urban Ministries of Wake County, Inc.

  dba Open Door Clinic

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1740527217
  NPD (past)

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1619446507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DONALD ROSS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276102593",
            "telephone_number": "919-277-0507",
            "fax_number": "919-250-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DONALD ROSS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276102593",
            "telephone_number": "919-250-3320",
            "fax_number": "919-250-3322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1390 Capital Blvd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276031118",
            "country_code": "US",
            "telephone_number": "919-256-2180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORNER",
        "first_name": "MANDY",
        "middle_name": "LEE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-20",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NC",
            "license": "209347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Love Horne
• Lillian Rae Horne, M.D.
• Logan Horne
• Susanna Louise Horne, PHARM D
• Kyle D Horner, PA-C
• Kyler Steven Hornewer, PA-C
• David L Hornshuh, RPH
• Caroline Horosko, M.ED. NCC LCMHCA
• Sherry Lynn Horowitz, LCSW
• Melissa Horstman, MS RD LDN

• General Practice Registered Nurse in Raleigh, NC
• Providers in Raleigh, NC by specialty
• General Practice Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.