DR. DESTYNEE JABRAE HORNER (NPI# 1114545654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114545654 |
Entity Type | Individual |
Full Name | DR. DESTYNEE JABRAE HORNER |
Credential | DMD |
Practice Address |
220 E Rogers Rd Longmont CO 80501-6027 |
Mailing Address |
3229 Potts Xing La Vergne TN 37086-5127 |
Practice Telephone | 3036972583 |
Mailing Telephone | 6154381902 |
Enumeration Date | 2020-07-10 |
Last Update Date | 2020-07-10 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
220 E ROGERS RD |
City | LONGMONT |
State | CO |
Zip Code | 80501-6027 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003892761 | Michael W Allen | Family Medicine | 220 E Rogers Rd, Longmont, CO 80501-6027 | 2005-12-15 |
1770117368 | Mallory Mayeda | Student in an Organized Health Care Education/Training Program | 220 E Rogers Rd, Longmont, CO 80501-6027 | 2020-02-24 |
1407344310 | Gina Terrell | Dental Hygienist | 220 E Rogers Rd, Longmont, CO 80501-6027 | 2018-04-25 |
1255881512 | Yaira Oquendo-figueroa | Psychologist | 220 E Rogers Rd, Longmont, CO 80501-6027 | 2016-10-11 |
1598149049 | Joshua F. Bailey | Family Medicine | 220 E Rogers Rd, Longmont, CO 80501-6027 | 2015-07-15 |
1881000313 | Rachel B Morse | Nurse Practitioner | 220 E Rogers Rd, Longmont, CO 80501-6027 | 2014-07-04 |
1295140903 | Albert Hong | Dentist | 220 E Rogers Rd, Longmont, CO 80501-6027 | 2014-06-23 |
1447670328 | Elisabeth Mercedes Merrill | Family Medicine | 220 E Rogers Rd, Longmont, CO 80501-6027 | 2014-04-18 |
1083031157 | Plan De Salud Del Valle Inc | Pharmacy | 220 E Rogers Rd, Longmont, CO 80501-6027 | 2014-03-26 |
1609216753 | Helenka Stone | Family Medicine | 220 E Rogers Rd, Longmont, CO 80501-6027 | 2013-07-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
Find all providers in zip 80501 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194333765 | Haley Schneider | Student in an Organized Health Care Education/Training Program | 1823 Princess Dr, Longmont, CO 80501-2041 | 2020-07-20 |
1619506060 | Nicole Leigh Bielecki | Student in an Organized Health Care Education/Training Program | 7980 County Road 22, Longmont, CO 80504-9410 | 2020-04-07 |
1003414855 | Laura Isabel Miranda-olivera | Student in an Organized Health Care Education/Training Program | 1233 Sherman Dr, Longmont, CO 80501-6133 | 2020-10-14 |
1649880568 | Alysa Kipersztok | Student in an Organized Health Care Education/Training Program | 529 Coffman St, Longmont, CO 80501-5450 | 2020-08-05 |
1871102418 | Patricia Danielle Sparks | Student in an Organized Health Care Education/Training Program | 529 Coffman St, Longmont, CO 80501-5450 | 2020-07-29 |
1770117368 | Mallory Mayeda | Student in an Organized Health Care Education/Training Program | 220 E Rogers Rd, Longmont, CO 80501-6027 | 2020-02-24 |
1821644501 | Joni Collette Jackson-malavasi | Student in an Organized Health Care Education/Training Program | 515 Coffman St, Longmont, CO 80501-5455 | 2019-08-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861093684 | Nicole Christine Honnen | Student in an Organized Health Care Education/Training Program | 450 S Vine St, Denver, CO 80209-2720 | 2020-11-06 |
1922609395 | Emily Nearing | Student in an Organized Health Care Education/Training Program | 2425 N Wahsatch Ave, Colorado Springs, CO 80907-6942 | 2020-11-03 |
1245839992 | Kara Lubieniecki | Student in an Organized Health Care Education/Training Program | 10445 W Iliff Ave, Lakewood, CO 80227-2024 | 2020-10-23 |
1477152817 | Molly Dare Bartlett | Student in an Organized Health Care Education/Training Program | 1606 Yarrow St, Lakewood, CO 80214-6031 | 2020-10-17 |
1487251104 | Nyla Reese | Student in an Organized Health Care Education/Training Program | 7223 Peachleaf Dr, Colorado Springs, CO 80925-9499 | 2020-10-06 |
1932716313 | Claire Elizabeth Gaglione | Student in an Organized Health Care Education/Training Program | 2791 S Elm St, Denver, CO 80222-6830 | 2020-09-29 |
1710594379 | Jordan Avery Doiron | Student in an Organized Health Care Education/Training Program | 2199 S Univ Blvd, Denver, CO 80210-4700 | 2020-09-28 |
1568079283 | Jessica Adele Page | Student in an Organized Health Care Education/Training Program | 420 Broken Arrow Dr Unit A, Grand Junction, CO 81504-7635 | 2020-09-27 |
1306453097 | Marie Noelle Baumgartner | Student in an Organized Health Care Education/Training Program | 2455 S Gaylord St Apt 2, Denver, CO 80210-5231 | 2020-09-26 |
1649887415 | Natalie Lebert | Student in an Organized Health Care Education/Training Program | 2490 S Humboldt St, Denver, CO 80210-5115 | 2020-09-25 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DR. DESTYNEE JABRAE HORNER.
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.