Individual provider Active NPI

Christa Lyn Harris

  • Acute Care Nurse Practitioner
  • Sierra Vista, AZ
National Provider Identifier
1023800083
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
322956 Issued in AZ
Practice address
2305 E Wilcox Dr
Sierra Vista, AZ 85635-2738
Phone
(520) 458-1050
NPI assigned
May 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 322956 AZ Primary

Addresses

Primary practice location

2305 E Wilcox Dr
Sierra Vista, AZ 85635-2738

Mailing address

11529 S Hutchinson Rd
Hereford, AZ 85615-8114
Phone (520) 861-0933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20250728001302 AZ Practitioner - Nurse Practitioner 2466969282 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart and Vascular Associates LLCGroup PAC ID 6002169919, 5 clinicians

Practice addresses (Care Compare)

1940 E Wilcox St
Suite 102
Sierra Vista, AZ 85635
Phone (520) 335-2400

Hospital & facility affiliations

  • Canyon Vista Medical Center Hospital, Sierra Vista, AZ, CCN 030043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NM Pacs 2 LLC CurrentSince Jun 11, 2025 Accepting new patients
CS Pacs 3 West LLC CurrentSince Jun 11, 2025 Accepting new patients
Arizona Post-Acute Medical Services 1 PC CurrentSince Jun 11, 2025 Accepting new patients
Heart and Vascular Associates LLC CurrentSince May 11, 2026 Accepting new patients
Hospitalists of Arizona, LLC Past Accepting new patients

Locations

1081 Kathleen Ave
Kingman, AZ 86401
Phone (928) 718-0777

3401 Lockwood Dr
Lakeside, AZ 85929
Phone (928) 368-2060

255 W Brown Rd
Mesa, AZ 85201
Phone (480) 833-3988

5755 E Main St
Mesa, AZ 85205
Phone (480) 214-2400

1119 E Rancho Vistoso Blvd
Oro Valley, AZ 85755
Phone (520) 825-4669

8825 S 7th St
Phoenix, AZ 85042
Phone (602) 243-6121

864 Dougherty St
Prescott, AZ 86305
Phone (928) 778-9666

3380 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 775-0045

2401 E Hunt Dr
Show Low, AZ 85901
Phone (928) 537-5333

1590 Paseo San Luis
Ste 102
Sierra Vista, AZ 85635
Phone (520) 335-2400

2305 E Wilcox Dr
Sierra Vista, AZ 85635
Phone (520) 458-1050

14002 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-1141

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDAGCD/Endpoint/EDAGCD

Organizations & group practices 5

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 3

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": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1023800083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11529 S HUTCHINSON RD",
            "city": "HEREFORD",
            "state": "AZ",
            "postal_code": "856158114",
            "telephone_number": "520-861-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 E WILCOX DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352738",
            "telephone_number": "520-458-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CHRISTA",
        "middle_name": "LYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "322956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.