Active NPI
Shanna Horne
- Nurse Practitioner
- Melbourne, FL
National Provider Identifier
1699860395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP 9219818
- Practice address
- 1801 Penn St
Melbourne, FL 32901-2694 - Phone
- (904) 349-9855
- NPI assigned
- Oct 4, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP 9219818 | FL | Primary |
Addresses
Primary practice location
1801 Penn St
Melbourne, FL 32901-2694
Mailing address
1801 Penn St
Health Plan Members' Homes
Melbourne, FL 32901-2694
Phone (904) 349-9855
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9219818 | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399852800000",
"number": "1699860395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 PENN ST",
"address_2": "HEALTH PLAN MEMBERS' HOMES",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329012694",
"telephone_number": "904-349-9855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 PENN ST",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329012694",
"telephone_number": "904-349-9855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORNE",
"first_name": "SHANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2014-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP 9219818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.