Provider Demographics
NPI: | 1528942307 |
---|---|
Name: | HORAT, REYNALD |
Entity type: | Individual |
Prefix: | |
First Name: | REYNALD |
Middle Name: | |
Last Name: | HORAT |
Suffix: | |
Gender: | M |
Credentials: | |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 145 HOWARD ST |
Mailing Address - Street 2: | |
Mailing Address - City: | SOUTH EASTON |
Mailing Address - State: | MA |
Mailing Address - Zip Code: | 02375-1471 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 145 HOWARD ST |
Practice Address - Street 2: | |
Practice Address - City: | SOUTH EASTON |
Practice Address - State: | MA |
Practice Address - Zip Code: | 02375-1471 |
Practice Address - Country: | US |
Practice Address - Phone: | 857-383-1783 |
Practice Address - Fax: | |
Is Sole Proprietor?: | No |
Enumeration Date: | 2025-08-04 |
Last Update Date: | 2025-08-04 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
MA | RN2289844 | 163WA2000X, 163WC0200X, 163WC1500X, 163WC0400X, 163WE0003X, 163WC3500X, 163WH0200X, 163WH1000X, 163WN1003X, 163WP0000X, 163WX0800X, 163WP0808X, 163WP0809X, 163WW0000X, 163W00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 163W00000X | Nursing Service Providers | Registered Nurse | |
No | 163WA2000X | Nursing Service Providers | Registered Nurse | Administrator |
No | 163WC0200X | Nursing Service Providers | Registered Nurse | Critical Care Medicine |
No | 163WC1500X | Nursing Service Providers | Registered Nurse | Community Health |
No | 163WC0400X | Nursing Service Providers | Registered Nurse | Case Management |
No | 163WE0003X | Nursing Service Providers | Registered Nurse | Emergency |
No | 163WC3500X | Nursing Service Providers | Registered Nurse | Cardiac Rehabilitation |
No | 163WH0200X | Nursing Service Providers | Registered Nurse | Home Health |
No | 163WH1000X | Nursing Service Providers | Registered Nurse | Hospice |
No | 163WN1003X | Nursing Service Providers | Registered Nurse | Nutrition Support |
No | 163WP0000X | Nursing Service Providers | Registered Nurse | Pain Management |
No | 163WX0800X | Nursing Service Providers | Registered Nurse | Orthopedic |
No | 163WP0808X | Nursing Service Providers | Registered Nurse | Psychiatric/Mental Health |
No | 163WP0809X | Nursing Service Providers | Registered Nurse | Psychiatric/Mental Health, Adult |
No | 163WW0000X | Nursing Service Providers | Registered Nurse | Wound Care |