Katrina Harley

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Practice address

5024 Grassy Knoll Dr
Tavares, FL 32778-6211

Phone

(352) 434-8540

Fax

(352) 609-2097

NPI assigned

Jun 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1043836455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5024 GRASSY KNOLL DR",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327786211",
            "telephone_number": "352-434-8540",
            "fax_number": "352-609-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 GRASSY KNOLL DR",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327786211",
            "telephone_number": "352-434-8540",
            "fax_number": "352-609-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLEY",
        "first_name": "KATRINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/a",
            "affiliation": "N",
            "endpointDescription": "N/a",
            "address_1": "5024 Grassy Knoll Dr",
            "city": "Tavares",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327786211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda Lynn Hair, APRN
• Teresa Jean Haire, RN, CNOR, RNFA
• James Robert Hampton, MACCC,SLP
• Happy Camper Pediatrics LLC
• Dennis Harkness, PA-C
• John Harper Jr.
• Donia Harrison
• Kristina Hawkins, IMT4036
• Rene Danielle Hawkins, APRN
• Audrey Hawley, H.A.S., BC-HIS

• Child Intellectual and/or Developmental Disabilities Respite Care in Tavares, FL
• Providers in Tavares, FL by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.