Marylyn Renee Harris, RN

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

582752 Issued in TX

Practice address

6706 Old Oaks Blvd
Pearland, TX 77584-7140

Phone

(832) 594-4391

Fax

(832) 594-4391

NPI assigned

Aug 8, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• Harrland Healthcare Consulting LLC

  • Case Management Agency
  • Pearland, TX
  • NPI 1073035606

  Multi-Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1249689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1043441074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 GRIGGS RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770213700",
            "telephone_number": "713-594-0179",
            "fax_number": "713-513-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6706 OLD OAKS BLVD",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847140",
            "telephone_number": "832-594-4391",
            "fax_number": "832-594-4391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5330 Griggs Rd Ste B105",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770213755",
            "country_code": "US",
            "telephone_number": "281-501-1884",
            "fax_number": "281-501-1884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MARYLYN",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "582752",
            "primary": false
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "TX",
            "license": "582752",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "582752",
            "primary": false
        },
        {
            "code": "374T00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Nursing Personnel",
            "state": "TX",
            "license": "582752",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "TX",
            "license": "582752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "582752",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aralynn Harris
• Chicaree Harris, APRN, FNP-C
• Chimiara Harris
• Daphane J Harris, LMFT-A
• Jacey Harris, OTR
• Maurisa Candis Harris, LMSW
• Taiah Harris
• Willie Harris Jr., LPC
• Harrland Healthcare Consulting LLC
• Liana Hart

• Adult Psychiatric/Mental Health Registered Nurse in Pearland, TX
• Providers in Pearland, TX by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.