Organization Active NPI

Clear Horizons Healthcare

  • Adult Health Nurse Practitioner
  • Audubon, NJ
National Provider Identifier
1780188706
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00301600 Issued in NJ
Legal business name
CLEAR HORIZONS HEALTHCARE
Practice address
220 S White Horse Pike FL 2
Audubon, NJ 08106-1371
Phone
(856) 433-1808
Fax
(856) 433-1809
NPI assigned
Mar 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Authorized official

Name
Hermina Waters, APNNPI 1679882740
Title
Owner
Phone
(856) 433-1808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X 26NJ00301600 NJ Primary

Addresses

Primary practice location

220 S White Horse Pike FL 2
Audubon, NJ 08106-1371

Mailing address

1017 Abington Rd
Cherry Hill, NJ 08034-3903
Phone (856) 266-8033

National Provider Directory

National Provider Directory

Locations

220 S White Horse Pike
Fl 2
Audubon, NJ 08106
Phone (856) 433-1808

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521763200000",
    "number": "1780188706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 ABINGTON RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343903",
            "telephone_number": "856-266-8033",
            "fax_number": "856-433-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S WHITE HORSE PIKE FL 2",
            "city": "AUDUBON",
            "state": "NJ",
            "postal_code": "081061371",
            "telephone_number": "856-433-1808",
            "fax_number": "856-433-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR HORIZONS HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "HERMINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-433-1808",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00301600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Audubon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.