Rebecca Clark Harris, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

4704266340 Issued in MI

Practice address

2900 Watkins Rd
Battle Creek, MI 49015-8604

Phone

(269) 245-5430

NPI assigned

Jan 25, 2021

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 names 1

• Rebecca Anne Clark Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1023608916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 WATKINS RD",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490158604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 WATKINS RD",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490158604",
            "telephone_number": "269-245-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "REBECCA",
        "middle_name": "CLARK",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MI",
            "license": "4704266340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "CLARK",
            "middle_name": "ANNE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• April Harrington
• Edward L Harris II II, MA, LPC
• Harris Mental Health Services LLC
• Kelsey Jo Harris, PA-C
• Kristen Lynn Harris, LMSW
• Matthew Hart, C.P.
• Joshua Hass, PT, DPT
• Stacy Lynn Hassett, MSW
• Jennifer Haswell, LLPC
• Laqueshya Hatcher

• Case Management Registered Nurse in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Case Management Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.