Active NPI
Joan M Harris, LMP
- Specialist
- Omak, WA
National Provider Identifier
1104140268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA 60083311
- Practice address
- 670 Riverside Drive
Omak, WA 98841 - Phone
- (509) 846-1000
- Fax
- (509) 846-1005
- NPI assigned
- Mar 18, 2010
- Last updated
- Mar 18, 2010
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA 60083311 | WA | Primary |
Addresses
Primary practice location
670 Riverside Drive
Omak, WA 98841
Mailing address
PO Box 1438
Omak, WA 98841-1438
Phone (509) 846-1000
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 |
|---|---|---|---|
| MA 60083311 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dena Byl | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268870400000",
"number": "1104140268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1438",
"city": "OMAK",
"state": "WA",
"postal_code": "988411438",
"telephone_number": "509-846-1000",
"fax_number": "509-846-1005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 RIVERSIDE DRIVE",
"city": "OMAK",
"state": "WA",
"postal_code": "98841",
"telephone_number": "509-846-1000",
"fax_number": "509-846-1005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "JOAN",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-18",
"last_updated": "2010-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA 60083311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omak, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.