Active NPI
Katherine R Harrison, PNP
- Pediatric Nurse Practitioner
- Clarksville, TN
National Provider Identifier
1023300787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APN0000014907
- Practice address
- 800 Weatherly
Suite 201
Clarksville, TN 37043 - Phone
- (931) 648-1912
- Fax
- (931) 648-1277
- NPI assigned
- May 12, 2011
- Last updated
- Aug 12, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | APN0000014907 | TN | Primary |
Addresses
Primary practice location
800 Weatherly
Suite 201
Clarksville, TN 37043
Mailing address
310 25TH Ave N
Suite 201
Nashville, TN 37203-1515
Phone (615) 209-9386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000014907 | TN | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| America Cares Trust, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407801600000",
"number": "1023300787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 25TH AVE N",
"address_2": "SUITE 201",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031515",
"telephone_number": "615-209-9386",
"fax_number": "615-942-0982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WEATHERLY",
"address_2": "SUITE 201",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "37043",
"telephone_number": "931-648-1912",
"fax_number": "931-648-1277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "KATHERINE",
"middle_name": "R",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-12",
"last_updated": "2014-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TN",
"license": "APN0000014907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.