Active NPI
Nichole Maureen Horsford, M.D., M.D.
- Psychiatry Physician
- Welch, WV
National Provider Identifier
1619920600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 21126
- Practice address
- 151 RT. 52 North
Welch, WV 24801 - Phone
- (304) 436-2106
- Fax
- (304) 436-6362
- NPI assigned
- May 18, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 21126 | WV | Primary |
Addresses
Primary practice location
151 RT. 52 North
Welch, WV 24801
Mailing address
200 12TH Street Ext
Princeton, WV 24740-2329
Phone (304) 425-9541
Other names 1
- Nichole Maureen Horsford
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21126 | WV | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Highlands Community Mental Health Center, Inc. | Past | Accepting new patients | |
| Highland Hospital Association | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatric Hospital
- Charleston, WV
- NPI 1497706659
-
- Community/Behavioral Health Agency
- Princeton, WV
- NPI 1740234673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412553600000",
"number": "1619920600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 12TH STREET EXT",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247402329",
"telephone_number": "304-425-9541",
"fax_number": "304-431-2856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 RT. 52 NORTH",
"city": "WELCH",
"state": "WV",
"postal_code": "24801",
"telephone_number": "304-436-2106",
"fax_number": "304-436-6362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORSFORD, M.D.",
"first_name": "NICHOLE",
"middle_name": "MAUREEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2014-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WV",
"license": "21126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICHOLE",
"last_name": "HORSFORD",
"middle_name": "MAUREEN",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Welch, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.