Individual provider Active NPI

Peggy Joyce Harris, APRN

  • Family Nurse Practitioner
  • Laramie, WY
National Provider Identifier
1073753026
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
31377.1559 Issued in WY
Practice address
2523 E Garfield St
Suite B
Laramie, WY 82070-4989
Phone
(307) 460-9888
Fax
(307) 460-9892
NPI assigned
Mar 4, 2009
Last updated
Oct 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 31377.1559 WY Primary

Addresses

Primary practice location

2523 E Garfield St
Suite B
Laramie, WY 82070-4989

Mailing address

2523 E Garfield St
Suite B
Laramie, WY 82070-4989
Phone (307) 460-9888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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

Enrollment IDStateProvider typePAC IDDetails
I20161129002676 WY Practitioner - Nurse Practitioner 7416237979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Snowy Range Health CenterGroup PAC ID 8123337011, 2 clinicians

Practice addresses (Care Compare)

100 S 6TH St
Laramie, WY 82070-3239
Phone (307) 460-9888

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Snowy Range Health Center CurrentSince Oct 15, 2016 Accepting new patients

Locations

100 S 6th St
Laramie, WY 82070
Phone (307) 460-9888

2523 E Garfield St
Ste B
Laramie, WY 82070
Phone (307) 460-9888

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10901/brand/1/csg/1/fhir/r4
  • Direct secure messaging: peggy.harris.1@10901.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1073753026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2523 E GARFIELD ST",
            "address_2": "SUITE B",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820704989",
            "telephone_number": "307-460-9888",
            "fax_number": "307-460-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2523 E GARFIELD ST",
            "address_2": "SUITE B",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820704989",
            "telephone_number": "307-460-9888",
            "fax_number": "307-460-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "PEGGY",
        "middle_name": "JOYCE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-04",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "31377.1559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

Verify at the official NPI Registry.