Individual provider Active NPI

Tera May Hornbeck, DNP, RN, AGCNS-BC

  • Registered Nurse
  • Lafayette, IN
National Provider Identifier
1942831318
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
28173241A Issued in IN
Practice address
2274 Flowering Crab Dr E
Lafayette, IN 47905-7729
Phone
(765) 404-3712
NPI assigned
Feb 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28173241A IN Primary

Addresses

Primary practice location

2274 Flowering Crab Dr E
Lafayette, IN 47905-7729

Mailing address

2274 Flowering Crab Dr E
Lafayette, IN 47905-7729
Phone (765) 404-3712

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Lafayette

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
28173241AINMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1942831318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2274 FLOWERING CRAB DR E",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479057729",
            "telephone_number": "765-404-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2274 FLOWERING CRAB DR E",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479057729",
            "telephone_number": "765-404-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNBECK",
        "first_name": "TERA",
        "middle_name": "MAY",
        "name_prefix": "Dr.",
        "credential": "DNP, RN, AGCNS-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28173241A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lafayette",
            "affiliation": "N",
            "address_1": "2274 Flowering Crab Dr E",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479057729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.