SHIRLEY L VAN HORN (NPI# 1659363612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659363612 |
| Entity Type | Individual |
| Full Name | SHIRLEY L VAN HORN |
| Credential | FNP |
| Practice Address |
17 Hamilton Ave. Monticello NY 12701 |
| Mailing Address |
Po Box 5 Huguenot NY 12746 |
| Practice Telephone | 8457948080 |
| Practice Fax Number | 8458876245 |
| Mailing Telephone | 8458561666 |
| Mailing Fax Number | 8458582954 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2011-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | F331954-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F331954-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
17 HAMILTON AVE. |
| City | MONTICELLO |
| State | NY |
| Zip Code | 12701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346854023 | Julia Lynn Waldorf | Student in an Organized Health Care Education/Training Program | 141 Benmosche Road, Monticello, NY 12701 | 2020-09-01 |
| 1205450483 | Deanna Marie Prue | Speech-Language Pathologist | 141 Benmosche Rd, Monticello, NY 12701 | 2020-06-03 |
| 1114552262 | Lauren Madsen | Physical Therapist | 139 Benmosche Rd, Monticello, NY 12701 | 2020-03-10 |
| 1427696061 | Elderberry Icf | Intermediate Care Facility, Mentally Retarded | 15 Poem Place, Monticello, NY 12701 | 2019-12-13 |
| 1407301922 | Nicole M Casamassima | Speech-Language Pathologist | 640 Old Route 17, 641 Old Route 17, Monticello, NY 12701 | 2016-08-25 |
| 1144680018 | Deborah Jackson | Counselor | 17 Hamilton Avenue, Monticello, NY 12701 | 2016-03-04 |
| 1215354592 | Abdelhalim Zaghloul Nada | Physical Therapist | 427 Boardway, Suite #3, Mountain Physical Therapy, Monticello, NY 12701 | 2014-03-25 |
| 1720402795 | Christine Pham | Podiatrist | 427 Broadway Ste 2, Monticello, NY 12701 | 2014-02-12 |
| 1396095139 | Raquel Bottaro | Specialist | 504 South Woods Rd, Monticello, NY 12701 | 2012-09-19 |
| 1558620310 | Maria L Burns | Registered Nurse | 20 Crystal St, Monticello, NY 12701 | 2012-05-14 |
| Find all providers in zip 12701 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508722 | Tlc Healthcare LLC | Nurse Practitioner | 202 N Main St Ste A, Monticello, IA 52310-1746 | 2020-11-06 |
| 1194232207 | Jacob Dudley Coffey | Nurse Practitioner | 1 S Creek Dr Ste 102606, Monticello, KY 42633 | 2018-01-10 |
| 1992215354 | Derek Lee White | Nurse Practitioner | 385 Old Troy Rd, Monticello, AR 71655-9181 | 2017-10-11 |
| 1720160526 | Cumberland Gastroenterology, P.s.c. | Nurse Practitioner | 1 Southcreek Drive, Monticello, KY 42633 | 2006-10-20 |
| 1578560405 | Carol Marguerite Brinkman | Nurse Practitioner | 9766 Fallon Ave Ne Ste 102, Monticello, MN 55362-4589 | 2005-07-07 |
| 1841838794 | Brandy Jackson | Nurse Practitioner | 895 N Main St, Monticello, KY 42633-1580 | 2019-12-11 |
| 1487290961 | Hannah A Hilton | Nurse Practitioner | 535 Jordan Dr, Monticello, AR 71655-5714 | 2019-11-20 |
| 1437621612 | David Christopher Morgan | Nurse Practitioner | 38 Concord Rd, Monticello, NY 12701-3210 | 2018-12-27 |
| 1730667759 | Ginger Conn | Nurse Practitioner | 895 N Main St, Monticello, KY 42633-1580 | 2018-08-01 |
| 1427557321 | Crystal S Clark | Nurse Practitioner | 1000 Medical Center Dr, Monticello, IL 61856-2116 | 2018-02-06 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 12701 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.