Grace Theresa Harkness

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1500 S University Parks Dr
Waco, TX 76706-1731

Phone

(609) 532-4338

NPI assigned

Jan 26, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1003314899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 S UNIVERSITY PARKS DR APT 25B",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767066599",
            "telephone_number": "609-532-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S UNIVERSITY PARKS DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767061731",
            "telephone_number": "609-532-4338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 Birch St",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265053418",
            "country_code": "US",
            "telephone_number": "304-293-3295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARKNESS",
        "first_name": "GRACE",
        "middle_name": "THERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-26",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Mike Hardin Jr., MD
• Kaci Hardin, COTA
• Daniel Hardman, ATC
• Henry D Hardt, PH.D.
• James Patrick Harkins Jr., M.D.
• Nichole Harmon, ATC, LAT
• Yolonda Janeice Harmon, NBC-HWC
• Zarlisht Haroon, BT
• Gina Harper, NP-C
• Jalyn Harrell

• Athletic Trainer in Waco, TX
• Providers in Waco, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.