Alicia Harris, ST

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 8637 Issued in FL

Practice address

1335 Ariana St
Lakeland, FL 33803-1879

Phone

(863) 413-0802

Fax

(863) 813-0812

NPI assigned

Jun 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lakeland Therapy Providers, Inc

  • Occupational Therapist
  • Lakeland, FL
  • NPI 1033265863
  NPD (past)
• Lakeland Therapy Providers, Inc.

  • Speech-Language Pathologist
  • Lakeland, FL
  • NPI 1013945856
  NPD (past)

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003018045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 ARIANA ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338031879",
            "telephone_number": "863-413-0802",
            "fax_number": "863-813-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 ARIANA ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338031879",
            "telephone_number": "863-413-0802",
            "fax_number": "863-813-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ALICIA",
        "credential": "ST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 8637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "SA 8637",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stuart Kent Harrell, OD
• Robert R. Harriage, M. D.
• Adam Harrick
• Harrieth N Aladiume
• Harriette Harrigan, LPN
• Chakita S Harris
• Diane M Harris, PHARM. D.
• Frances Marie Harris, MD
• Jalynn Harris, RBT
• Justin Michael Harris, DC

• Speech-Language Pathologist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.