Individual provider Active NPI

Debra Lynn Harman, MD, FAAFP

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1093794257
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18843 Issued in NV
Practice address
5785 Centennial Center Blvd. Ste. 190
Las Vegas, NV 89149
Phone
(702) 383-6270
Fax
(702) 395-3023
NPI assigned
Jan 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18843 NV Primary
Family Medicine Physician 207Q00000X 0101052898 VA

Addresses

Primary practice location

5785 Centennial Center Blvd. Ste. 190
Las Vegas, NV 89149

Mailing address

5785 Centennial Center Blvd. Ste. 190
Las Vegas, NV 89149
Phone (702) 383-6270

Other identifiers 4

IdentifierTypeStateIssuer
P0042666OtherVARAILROAD MEDICARE
1093794257MedicaidVA
1529040MedicaidTN
386590OtherVAANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190903002083 NV Practitioner - Family Practice 1557327293 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward S Victoria PLLCGroup PAC ID 3577886795, 3 clinicians
Saint Marys Medical Group IncGroup PAC ID 7618113523, 52 clinicians

Practice addresses (Care Compare)

2701 N Tenaya Way
Suite 190
Las Vegas, NV 89128-1405
Phone (702) 463-3008

6255 Sharlands Ave
Reno, NV 89523-2882
Phone (775) 770-7580

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101052898VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Marys Urgent Care LLC Current Accepting new patients
Saint Mary's Medical Group Inc CurrentSince Aug 15, 2025 Accepting new patients
Saint Marys Medical Group Inc. CurrentSince Aug 15, 2025 Accepting new patients
Emdee Clinica, PLLC PastSince Mar 12, 2003 Accepting new patients
Johnston Memorial Hospital, Inc Past Accepting new patients
Medexpress Urgent Care, PC - Tennessee Past Accepting new patients

Locations

1801 W Olympic Blvd
#1461
Pasadena, CA 91199

6255 Sharlands Ave
Reno, NV 89523
Phone (775) 245-6117

18653 Wedge Pkwy
Ste 110
Reno, NV 89511
Phone (775) 352-7201

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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 5

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": "1137283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1093794257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5785 CENTENNIAL CENTER BLVD. STE. 190",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89149",
            "telephone_number": "702-383-6270",
            "fax_number": "702-395-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5785 CENTENNIAL CENTER BLVD. STE. 190",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89149",
            "telephone_number": "702-383-6270",
            "fax_number": "702-395-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMAN",
        "first_name": "DEBRA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD, FAAFP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-15",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "18843",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101052898",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P0042666",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093794257",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1529040",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "386590",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.