Active NPI
Felicia Denise Harris, FNP-BC
- Family Nurse Practitioner
- Lugoff, SC
National Provider Identifier
1043716228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21679
- Practice address
- 15 Exchange Dr
Lugoff, SC 29078-9198 - Phone
- (803) 424-2200
- Fax
- (803) 408-8608
- NPI assigned
- Apr 5, 2018
- Last updated
- Apr 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 21679 | SC | Primary |
Addresses
Primary practice location
15 Exchange Dr
Lugoff, SC 29078-9198
Mailing address
1512 Baldwin Rd
Lugoff, SC 29078-9606
Phone (803) 549-2155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522886400000",
"number": "1043716228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512 BALDWIN RD",
"city": "LUGOFF",
"state": "SC",
"postal_code": "290789606",
"telephone_number": "803-549-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 EXCHANGE DR",
"city": "LUGOFF",
"state": "SC",
"postal_code": "290789198",
"telephone_number": "803-424-2200",
"fax_number": "803-408-8608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "FELICIA",
"middle_name": "DENISE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-05",
"last_updated": "2018-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "21679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lugoff, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.