Individual provider Active NPI

Susan Malishan Horton, ARNP

  • Nurse Practitioner
  • Monticello, FL
National Provider Identifier
1922201474
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP 2217272 Issued in FL
Practice address
1255 W Washington St
Monticello, FL 32344-1128
Phone
(850) 342-0170
NPI assigned
Jun 11, 2007
Last updated
Dec 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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 ARNP 2217272 FL Primary

Addresses

Primary practice location

1255 W Washington St
Monticello, FL 32344-1128

Mailing address

1255 W Washington St
Monticello, FL 32344-1128
Phone (850) 342-0170

Other identifiers 1

IdentifierTypeStateIssuer
308414100MedicaidFL

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240111002032 FL Practitioner - Nurse Practitioner 6406949262 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 2217272FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apalachee Center, Inc. CurrentSince Nov 29, 2023 Accepting new patients
Robert a. Norman, D.O., P.a. Past Accepting new patients

Locations

225 SW Sumatra Ave
Madison, FL 32340
Phone (850) 973-5124

79 Lasalle Path
Quincy, FL 32351
Phone (850) 875-2422

2634 Capital Cir NE
Bldg C
Tallahassee, FL 32308
Phone (850) 523-3289

2634 Capital Cir NE
Bldg J
Tallahassee, FL 32308
Phone (850) 523-3243

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1922201474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 W WASHINGTON ST",
            "city": "MONTICELLO",
            "state": "FL",
            "postal_code": "323441128",
            "telephone_number": "850-342-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 W WASHINGTON ST",
            "city": "MONTICELLO",
            "state": "FL",
            "postal_code": "323441128",
            "telephone_number": "850-342-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORTON",
        "first_name": "SUSAN",
        "middle_name": "MALISHAN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 2217272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308414100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, FL

Sources for this page

Verify at the official NPI Registry.