Individual provider Active NPI

Andrea M Horbey, DO

  • Pediatrics Physician
  • Knoxville, TN
National Provider Identifier
1669825634
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
O15431 Issued in FL
Practice address
2018 Clinch Ave
Knoxville, TN 37916-2301
Phone
(865) 541-8000
NPI assigned
Jul 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X O15431 FL Primary

Addresses

Primary practice location

2018 Clinch Ave
Knoxville, TN 37916-2301

Mailing address

1300 Ardmore Alcoa Way Apt 201
Louisville, TN 37777-3082
Phone (310) 347-1981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181127000799 FL Practitioner - Pediatric Medicine 1153675442 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
O15431FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Southeastern University, Inc Pediatrics CurrentSince Jul 9, 2018 Accepting new patients
Nova Southeastern University, Inc Current Accepting new patients
Nova Southeastern University Inc. CurrentSince Jul 9, 2018 Accepting new patients

Locations

3200 S University Dr
Davie, FL 33328
Phone (954) 262-1250

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

650 N Andrews Ave
Ft Lauderdale, FL 33311
Phone (954) 463-4213

1750 NE 167th St
North Miami Beach, FL 33162
Phone (305) 949-4000

16855 NE 2nd Ave
Ste N302
North Miami Beach, FL 33162
Phone (954) 262-4200

Organizations & group practices 3

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": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1669825634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 ARDMORE ALCOA WAY APT 201",
            "city": "LOUISVILLE",
            "state": "TN",
            "postal_code": "377773082",
            "telephone_number": "310-347-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 CLINCH AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162301",
            "telephone_number": "865-541-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORBEY",
        "first_name": "ANDREA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "O15431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.