Active NPI
Diana Paola Harrison, CRNP
- Family Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1003292293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP015136
- Practice address
- 1412-22 Fairmount Ave
Philadelphia, PA 19130 - Phone
- (215) 599-4851
- NPI assigned
- Aug 11, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP015136 | PA | Primary |
Addresses
Primary practice location
1412-22 Fairmount Ave
Philadelphia, PA 19130
Mailing address
1412 22 Fairmount Avenue
Philadelphia, PA 19130-2908
Phone (215) 599-4851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP015136 | PA | MD | Family Nurse Practitioner |
Interoperability endpoints
- dharrison350566@direct-sluhn.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463961600000",
"number": "1003292293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 22 FAIRMOUNT AVENUE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191302908",
"telephone_number": "215-599-4851",
"fax_number": "215-232-4093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412-22 FAIRMOUNT AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19130",
"telephone_number": "215-599-4851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "DIANA",
"middle_name": "PAOLA",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-11",
"last_updated": "2016-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP015136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.