Active NPI
Michelle Harris
- Student in an Organized Health Care Education/Training Program
- Phenix City, AL
National Provider Identifier
1093654402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 1-199763
- Practice address
- 126 Blue Spruce Dr
Phenix City, AL 36869-7998 - Phone
- (678) 650-0567
- NPI assigned
- Mar 28, 2026
- Last updated
- Mar 28, 2026
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 1-199763 | AL | Primary |
Addresses
Primary practice location
126 Blue Spruce Dr
Phenix City, AL 36869-7998
Mailing address
126 Blue Spruce Dr
Phenix City, AL 36869-7998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-199763 | AL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774656000000",
"number": "1093654402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 BLUE SPRUCE DR",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "368697998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 BLUE SPRUCE DR",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "368697998",
"telephone_number": "678-650-0567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-28",
"last_updated": "2026-03-28",
"certification_date": "2026-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AL",
"license": "1-199763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phenix City, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.