Individual provider Active NPI

Amy Suzanne Horner, APN

  • Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1659964153
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
125408 Issued in AR
Practice address
10915 N Rodney Parham Rd Ste B
Little Rock, AR 72212-4202
Phone
(501) 747-2828
Fax
(501) 747-2868
NPI assigned
Feb 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 125408 AR Primary

Addresses

Primary practice location

10915 N Rodney Parham Rd Ste B
Little Rock, AR 72212-4202

Mailing address

PO Box 26618
Little Rock, AR 72221-6601
Phone (501) 747-2828

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210412000740 AR Practitioner - Nurse Practitioner 4688082662 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
125408ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Gastroenterology Associates PLLC CurrentSince Mar 15, 2021 Accepting new patients
Premier Gastroenterology Associates PLLC CurrentSince Mar 15, 2021 Accepting new patients
G. Scott Slagle, M.D.,P.a. CurrentSince Sep 8, 2021 Accepting new patients
Arkansas Pain Care Clinics, PA CurrentSince Apr 1, 2025 Accepting new patients
Arkansas Pain Care Clinics, PA CurrentSince Apr 1, 2025 Accepting new patients

Locations

1420 Braden St
Jacksonville, AR 72076
Phone (501) 982-6900

300 S Shackleford Rd
Little Rock, AR 72211
Phone (501) 918-0589

10915 N Rodney Parham Rd
Ste B
Little Rock, AR 72212
Phone (501) 747-2828

7481 Warden Rd
Sherwood, AR 72120
Phone (501) 588-4164

Interoperability endpoints

  • Direct secure messaging: amy.horner.1@20061.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1659964153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26618",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722216601",
            "telephone_number": "501-747-2828",
            "fax_number": "501-474-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10915 N RODNEY PARHAM RD STE B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722124202",
            "telephone_number": "501-747-2828",
            "fax_number": "501-747-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNER",
        "first_name": "AMY",
        "middle_name": "SUZANNE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "125408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.