Angela Harrison, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP62185 Issued in ID

Practice address

10151 W River Rock LN
Garden City, ID 83714-8088

Phone

(208) 867-2701

NPI assigned

Sep 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shoshone-Paiute Tribes 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angie.harrison.1@13873.direct.athenahealth.com

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.

• Shoshone-Paiute Tribes

  • Clinic/Center
  • Owyhee, NV
  • NPI 1528230224

  TX

  Medicare reassignment Care Compare group NPD
• Shoshone Paiute Tribes

  • Land Ambulance
  • Owyhee, NV
  • NPI 1104181791
  Care Compare group NPD
• Shoshone Paiute Tribes

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Owyhee, NV
  • NPI 1912205378
  NPD (past)

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

{
    "created_epoch": "1567900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567900800000",
    "number": "1013566595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10151 W RIVER ROCK LN",
            "city": "GARDEN CITY",
            "state": "ID",
            "postal_code": "837148088",
            "telephone_number": "208-867-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10151 W RIVER ROCK LN",
            "city": "GARDEN CITY",
            "state": "ID",
            "postal_code": "837148088",
            "telephone_number": "208-867-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-08",
        "last_updated": "2019-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "48826",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "CNP62185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garden City Senior Living
• Genesis Community Health, Inc.
• Ashleigh Griffin, LPC
• Christopher D Gunderson, PA-C
• Hannah Jean Hancock, APRN-CNP
• Healing Touch Osteopathic PC
• Health Services Wyoming LLC
• Daniel Heath, DC
• Elizabeth Hinkle, DPT
• Julia Eden Hummer, LPC

• All providers in Garden City, ID
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.