Active NPI
Margaret Ann Harris
- Developmental Therapist
- Clay City, IL
National Provider Identifier
1104237205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 8504 Sailor Springs Rd
Clay City, IL 62824-2009 - Phone
- (618) 689-3443
- NPI assigned
- May 12, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary | ||
| Health Information Specialist/Technologist | 246Y00000X | 0465641 | IL | |
| Health Information Specialist/Technologist | 246Y00000X | IL | ||
| Early Intervention Provider Agency | 252Y00000X | IL |
Addresses
Primary practice location
8504 Sailor Springs Rd
Clay City, IL 62824-2009
Mailing address
8504 Sailor Springs Rd
Clay City, IL 62824-2009
Phone (618) 689-3443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0465641 | Medicaid | IL |
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 |
|---|---|---|---|
| 0465641 | IL | MD | Health Information Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440374400000",
"number": "1104237205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8504 SAILOR SPRINGS RD",
"city": "CLAY CITY",
"state": "IL",
"postal_code": "628242009",
"telephone_number": "618-689-3443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8504 SAILOR SPRINGS RD",
"city": "CLAY CITY",
"state": "IL",
"postal_code": "628242009",
"telephone_number": "618-689-3443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "MARGARET",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-12",
"last_updated": "2015-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "246Y00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Health Information",
"state": "IL",
"license": "0465641",
"primary": false
},
{
"code": "246Y00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Health Information",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0465641",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clay City, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.