Millicent R Harrison, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-140707 Issued in AL

Practice address

105 E Watts St
Enterprise, AL 36330-2511

Phone

(334) 393-5437

Fax

(334) 393-4185

NPI assigned

Dec 7, 2016

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Alabama Rural Health AssociatesGroup PAC ID 8123009057, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: millicent.harrison@sarha.eclinicaldirectplus.com

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.

• Southeast Alabama Rural Health Associates

  • Federally Qualified Health Center (FQHC)
  • Enterprise, AL
  • NPI 1891856134
  Medicare reassignment Care Compare group NPD
• Southeast Alabama Rural Health Associates

  • Federally Qualified Health Center (FQHC)
  • Andalusia, AL
  • NPI 1417753237
  NPD
• Southeast Alabama Rural Health Associates

  • Federally Qualified Health Center (FQHC)
  • Newton, AL
  • NPI 1780745034
  NPD
• Southeast Alabama Rural Health Associates

  • Federally Qualified Health Center (FQHC)
  • Dozier, AL
  • NPI 1063573301

  Family

  NPD (past)

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1063956233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 ELBA HWY",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360796020",
            "telephone_number": "334-670-6726",
            "fax_number": "334-670-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E WATTS ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302511",
            "telephone_number": "334-393-5437",
            "fax_number": "334-393-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "MILLICENT",
        "middle_name": "R",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-07",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-140707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1-140707",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195503",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kalaiolono Hansen
• Brandon P Hardy, DMD
• Cecillia Hardy, LPC, MS
• Rick Alan Harrelson, MD
• Michelle Harris
• David Andrew Hartzog, OD
• Medford Lamar Haskew, R.PH.
• Randi Hataway, RBT
• Cynthia Lynne Hauser, RPH
• Sandra Hayes

• Family Nurse Practitioner in Enterprise, AL
• Providers in Enterprise, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.