Brooke Nicole Harris, CST, BS, AA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

118694 Issued in LA

Practice address

355 E Vista Ridge Mall Dr Apt 4933
Lewisville, TX 75067-4024

Phone

(318) 834-6284

NPI assigned

Jul 28, 2020

Last updated

Jul 28, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Associate of Arts, Bachelor of Science

State licenses

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1063021749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 E VISTA RIDGE MALL DR APT 4933",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674024",
            "telephone_number": "318-834-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 E VISTA RIDGE MALL DR APT 4933",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674024",
            "telephone_number": "318-834-6284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "BROOKE",
        "middle_name": "NICOLE",
        "credential": "CST, BS, AA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "118694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Alan Harman, M.D.
• Jeffrey T Harrell, O.D
• Harris Healthcare, Inc. (North Texas Home Care)
• Harris Hospice, Inc.
• Ashley Gail Harris
• Tamara E Harris, O.T.
• Erma Harrison
• Cindy Gail Hart, D.C.
• Stephen Kyle Hartzog, DMD
• Hashemi & Associates O.D., P.a. (Eyeclinic Medical)

• Surgery Physician in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.