Horizon Family Medicine LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

HORIZON FAMILY MEDICINE LLC

Practice address

477 Connecticut Blvd Ste 119
East Hartford, CT 06108-3228

Phone

(475) 320-8111

NPI assigned

Apr 20, 2022

Organization subpart

No

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

Authorized official

Name

Stephanie Pettingle, DNP, FNP-C, APRNNPI 1205258605

Title

Aprn

Phone

(860) 216-9976

Specialties & licenses 1

Addresses

Other names 1

• HORIZON FAMILY MEDICINE Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Stephanie Pettingle, APRN DNP

  • Family Nurse Practitioner
  • Shelton, CT
  • NPI 1205258605
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671235200000",
    "number": "1942944582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 CONNECTICUT BLVD STE 119",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083228",
            "telephone_number": "860-216-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 CONNECTICUT BLVD STE 119",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083228",
            "telephone_number": "475-320-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-12-17",
        "certification_date": "2022-12-17",
        "status": "A",
        "authorized_official_last_name": "PETTINGLE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "860-216-9976",
        "authorized_official_credential": "DNP, FNP-C, APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HORIZON FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HORIZON FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandy Charita Holloway I, LMSW
• Ivana Holloway
• Allison G Holtman, APRN, CRNA
• Home Connections LLC
• Sung-Chil Hong, M.D.
• Jamie E Houlihan
• Alison Howard, RN
• Olivia Hoy
• Lorraine Hu, APRN, CRNA
• Anne K Hua, LMSW

• Family Nurse Practitioner in East Hartford, CT
• Providers in East Hartford, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2022; 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.