Susan A Harris, APN

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

A01003ANP Issued in AR

Practice address

801 Goldsmith Rd
Paragould, AR 72450-9509

Phone

(870) 236-7782

Fax

(870) 236-9610

NPI assigned

Jan 9, 2007

Last updated

Jul 9, 2007By the provider in NPPES

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arkansas Department of Health Payroll Office

  • Public Health or Welfare Agency
  • Little Rock, AR
  • NPI 1619195906
  NPD (past)
• State of Arkansas

  • Skilled Nursing Facility
  • North Little Rock, AR
  • NPI 1689117756
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1003965120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GREENE ROAD 657",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724507441",
            "telephone_number": "870-215-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 GOLDSMITH RD",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724509509",
            "telephone_number": "870-236-7782",
            "fax_number": "870-236-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SUSAN",
        "middle_name": "A",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AR",
            "license": "A01003ANP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148177758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barry Harris, O.D.
• Christine Harris, LMSW
• McKenzie Harris, QBHP
• Ryan Harris, M.D.
• Sonya Harris, LMSW
• Tiffany Harris
• Ann Ross Hart
• Chelsea Paige Harvey, PHARMD
• Ali Madeeh Hashmi, MD
• Adel A.F. Hassan, MD

• Women's Health Nurse Practitioner in Paragould, AR
• Providers in Paragould, AR by specialty
• Women's Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.