Individual provider Active NPI

Dominique Briosha Horne

  • Certified Registered Nurse Anesthetist
  • West Columbia, SC
National Provider Identifier
1710400239
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
29263 Issued in SC
Practice address
2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone
(803) 935-8538
NPI assigned
Jul 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 209022358 IL
Registered Nurse 163W00000X 820416 CA
Certified Registered Nurse Anesthetist 367500000X 29263 SC Primary

Addresses

Primary practice location

2720 Sunset Blvd
West Columbia, SC 29169-4810

Mailing address

PO Box 6069
West Columbia, SC 29171-6069

Other practice location 1

5770 Riverside Dr. Bldg 601
752 Medical Squadron
March ARB, CA 92518
Phone (951) 655-5167

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dhorne187410@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210111001741 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476966599 Reassigns benefits to 1 organization
I20250127000964 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476966599 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone (803) 791-2460

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400

Hospital & facility affiliations

  • Lexington Medical Center Hospital, West Columbia, SC, CCN 420073
  • Musc Health Chester Medical Center Hospital, Chester, SC, CCN 420019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
820416CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
McDonough County Hospital District Current Accepting new patients
Lexington Health Inc Current Accepting new patients
McDonough County Hospital District Current Accepting new patients
McDonough County Hospital District Nurse Anesthetist, Certified Registered CurrentSince Nov 2, 2020 Accepting new patients
Musc Community Physicians Current Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
McDonough County Hospital District Current Accepting new patients
Musc Community Physicians CurrentSince Jan 1, 2025 Accepting new patients
McDonough County Hospital District Current Accepting new patients
Lexington Health Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2025 Accepting new patients
Lexington Health Inc CurrentSince Mar 1, 2025 Accepting new patients
Musc Community Physicians CurrentSince Jan 1, 2025 Accepting new patients
McDonough County Hospital District CurrentSince Nov 2, 2020 Accepting new patients
McDonough County Hospital District Current Accepting new patients

Locations

525 E Grant St
Macomb, IL 61455
Phone (309) 836-1611

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

811 W Main St
Lexington, SC 29072

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/9c9d3cdf-0f7f-4b63-979a-f711747b3e95/
  • Direct secure messaging: dhorne187410@direct.lexmed.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1710400239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694810",
            "telephone_number": "803-935-8538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5770 Riverside Dr. Bldg 601",
            "address_2": "752 Medical Squadron",
            "address_purpose": "LOCATION",
            "city": "March ARB",
            "state": "CA",
            "postal_code": "92518",
            "country_code": "US",
            "telephone_number": "951-655-5167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORNE",
        "first_name": "DOMINIQUE",
        "middle_name": "BRIOSHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209022358",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "820416",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "29263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dhorne187410@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "2720 Sunset Blvd",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291694810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.