Tekisha Darsha Harris

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

415 Chez Paree Dr Ste E
Hazelwood, MO 63042-3599

Phone

(314) 304-2747

NPI assigned

May 30, 2018

Last updated

Nov 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Reality Healthcare LLC

  dba Reality Healthcare

  • In Home Supportive Care Agency
  • Hazelwood, MO
  • NPI 1275299372
  NPD Authorized official

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1104318849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3428 CHARLESTOWNE CROSSING DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633014892",
            "telephone_number": "314-304-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 CHEZ PAREE DR STE E",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630423599",
            "telephone_number": "314-304-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TEKISHA",
        "middle_name": "DARSHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Leith Haithcock Sr., DO
• Hanish Eye Institute P.C.
• Sidney J Hanish, M.D.
• Kren Kathleen Harmon, LCSW
• Kennisha Harris, DC
• Harry W Stadnyk DDS PC
• Haven at Home LLC
• Rayna Hearns, CCMA
• Heart of Excellence CDS LLC
• Heart of Excellence CDS LLC

• Home Health Aide in Hazelwood, MO
• Providers in Hazelwood, MO by specialty
• Home Health Aide in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.