Secret Denise Harris

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN 116595 Issued in OH

Practice address

201 Sandover Dr
Aurora, OH 44202-8774

Phone

(216) 502-7877

Fax

(216) 502-7877

NPI assigned

Jul 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Secret Denise Morton Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242950400000",
    "number": "1023218591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SANDOVER DR",
            "city": "AURORA",
            "state": "OH",
            "postal_code": "442028774",
            "telephone_number": "216-502-7822",
            "fax_number": "216-502-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SANDOVER DR",
            "city": "AURORA",
            "state": "OH",
            "postal_code": "442028774",
            "telephone_number": "216-502-7877",
            "fax_number": "216-502-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SECRET",
        "middle_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2009-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN 116595",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN. 339649",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SECRET",
            "last_name": "MORTON",
            "middle_name": "DENISE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shasta Lynn Hall
• Phillip Lee Halstead II, LPTA
• Hamilton Ci Services, LLC
• Margaret Jeanne Hamilton, MA, AU.D.
• Suzhanna Marie Harper
• Sarah M Hausmann, DDS
• Havilah Consultants
• Jennifer Bryk Hechko, DDS
• Sharon Hermanowski
• Elena Hess, SLP

• Licensed Practical Nurse in Aurora, OH
• Providers in Aurora, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; 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.