Individual provider Active NPI

Kathi L. Harris, CRNP

  • Family Nurse Practitioner
  • Bellaire, OH
National Provider Identifier
1033115332
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
05497 Issued in OH
Practice address
370 28TH St
Bellaire, OH 43906-1789
Phone
(740) 676-2819
Fax
(740) 696-2852
NPI assigned
Jun 22, 2005
Last updated
Apr 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 38440 WV
Family Nurse Practitioner 363LF0000X 05497 OH Primary

Addresses

Primary practice location

370 28TH St
Bellaire, OH 43906-1789

Mailing address

370 28TH St
Bellaire, OH 43906-1789
Phone (740) 367-6028

Other identifiers 2

IdentifierTypeStateIssuer
2432193MedicaidOH
7101223000MedicaidWV

Other names 1

  • Ms. Kathi L. Conner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080213000483 OH Practitioner - Nurse Practitioner 8820059165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 Eoff St
Wheeling, WV 26003-3823

20525 Via Lerida
Yorba Linda, CA 92887-3111

380 Summit Ave
Steubenville, OH 43952-2699

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.74 of 100Reported as group
Quality
48.02
Promoting interoperability
91
Improvement activities
40
Cost
71.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05497OHMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity West CurrentSince Oct 7, 2019 Accepting new patients
Trinity West CurrentSince Oct 7, 2019 Accepting new patients
Family Statcare of Northeast Ohio, LLC Past Accepting new patients
Valley Radiologists Inc Past Accepting new patients

Locations

370 28th St
Bellaire, OH 43906
Phone (740) 676-2119

109 Plaza Dr
St Clairsvle, OH 43950
Phone (740) 695-5200

109 Plaza Dr
Ste A2
St Clairsvle, OH 43950
Phone (740) 695-2090

1 Ross Park Blvd
Ste G1
Steubenville, OH 43952
Phone (740) 283-7677

380 Summit Ave
Steubenville, OH 43952
Phone (740) 283-7000

107 Main St
Wintersville, OH 43953
Phone (740) 264-1656

Interoperability endpoints

  • Direct secure messaging: kathi.harris@tpg.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1033115332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 28TH ST",
            "city": "BELLAIRE",
            "state": "OH",
            "postal_code": "439061789",
            "telephone_number": "740-367-6028",
            "fax_number": "740-696-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 28TH ST",
            "city": "BELLAIRE",
            "state": "OH",
            "postal_code": "439061789",
            "telephone_number": "740-676-2819",
            "fax_number": "740-696-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KATHI",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "38440",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "05497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2432193",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101223000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHI",
            "last_name": "CONNER",
            "middle_name": "L.",
            "prefix": "MS.",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellaire, OH

Sources for this page

Verify at the official NPI Registry.