Individual provider Active NPI

Lakesha Addison- Harris, MSN, CRNP

  • Family Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1013358902
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R180378 Issued in MD
Practice address
7055 Samuel Morse Dr
Suite 200
Columbia, MD 21046
Phone
(410) 910-6700
NPI assigned
Jul 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R180378 MD
Family Nurse Practitioner 363LF0000X R180378 MD Primary

Addresses

Primary practice location

7055 Samuel Morse Dr
Suite 200
Columbia, MD 21046

Mailing address

7055 Samuel Morse Dr
Suite 200
Columbia, MD 21046-3439
Phone (410) 910-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171113001113 MD Practitioner - Nurse Practitioner 1456627306 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7310 Ritchie Hwy
Suite 200
Glen Burnie, MD 21061-3065
Phone (443) 867-8935

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101
  • Amedisys Home Health of Maryland Home health agency, Glen Burnie, MD, CCN 217108
  • Medstar Health Home Care Home health agency, Baltimore, MD, CCN 217068
  • Centerwell Home Health Home health agency, Columbia, MD, CCN 217071
  • Hospice of the Chesapeake, Inc. Hospice, Waldorf, MD, CCN 211519
  • Hospice of the Chesapeake, Inc. Hospice, Pasadena, MD, CCN 211509
  • Medstar Southern Maryland Hospital Center Hospital, Clinton, MD, CCN 210062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R180378MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Community Medical Group, Inc. CurrentSince Apr 17, 2018 Accepting new patients
Primecare Adult & Senior Health LLC CurrentSince Sep 28, 2023 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Apr 17, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

219 S Washington St
Easton, MD 21601

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

7310 Ritchie Hwy
Ste 200
Glen Burnie, MD 21061
Phone (240) 728-7544

3708 Mountain Rd
Pasadena, MD 21122
Phone (410) 255-1600

Organizations & group practices 4

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527206400000",
    "number": "1013358902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7055 SAMUEL MORSE DR",
            "address_2": "SUITE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463439",
            "telephone_number": "410-910-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7055 SAMUEL MORSE DR",
            "address_2": "SUITE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21046",
            "telephone_number": "410-910-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDISON- HARRIS",
        "first_name": "LAKESHA",
        "name_prefix": "Mrs.",
        "credential": "MSN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2018-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R180378",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R180378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.