Angela Lyn Harrison, EIS

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

990061 Issued in TX

Practice address

4350 Sigma Rd Ste 100
Farmers Branch, TX 75244-4421

Phone

(972) 991-6777

Fax

(972) 991-6361

NPI assigned

Jan 22, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Launchability

  • Early Intervention Provider Agency
  • Dallas, TX
  • NPI 1124449913
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043364813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 SIGMA RD STE 100",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752444421",
            "telephone_number": "972-991-6777",
            "fax_number": "972-991-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 SIGMA RD STE 100",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752444421",
            "telephone_number": "972-991-6777",
            "fax_number": "972-991-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "ANGELA",
        "middle_name": "LYN",
        "credential": "EIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "990061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacy M Hankins
• Sana Haq, MD
• Jennifer Hardaway
• Austin Hardin, SCHOOL COUNSELOR
• Alaijiah Harper
• Megan Hart
• Shauntele L Harvey
• Raquel K Hawthorne
• Susan Erickson Haydon, EIS
• Emily Gabrielle Hayes

• Case Manager/Care Coordinator in Farmers Branch, TX
• Providers in Farmers Branch, TX by specialty
• Case Manager/Care Coordinator in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.