Individual provider Active NPI

Luca Smith Harris, APRN, FNP

  • Family Nurse Practitioner
  • Bath, ME
National Provider Identifier
1114398252
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP151047 Issued in ME
Practice address
108 Centre St
Bath, ME 04530-2550
Phone
(207) 386-1800
Fax
(207) 517-6915
NPI assigned
Oct 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201704243NP-PP OR
Family Nurse Practitioner 363LF0000X CNP151047 ME Primary

Addresses

Primary practice location

108 Centre St
Bath, ME 04530-2550

Mailing address

3550 N Interstate Ave
Portland, OR 97227-1196
Phone (503) 285-9321

Other practice location 1

409 Roosevelt Trl
Windham, ME 04062-4821
Phone (207) 400-8600

Other practice location 2

3550 N Interstate Ave
Portland, OR 97227
Phone (503) 285-9321

Other names 1

  • Laura Smith Harris Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160108001526 ME Practitioner - Nurse Practitioner 2769784628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

108 Centre St
Bath, ME 04530-2550

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

Hospital & facility affiliations

  • Mainehealth Mid Coast Hospital Hospital, Brunswick, ME, CCN 200021
  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP151047MEMDFamily Nurse Practitioner
201704243NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Jan 11, 2021 Accepting new patients
Mainehealth CurrentSince Jan 11, 2021 Accepting new patients
Mainehealth Past Accepting new patients
Midcoast Hospital PastSince Jan 1, 2021 Accepting new patients

Locations

108 Centre St
#200
Bath, ME 04530
Phone (207) 386-1800

108 Centre St
Bath, ME 04530
Phone (207) 386-1800

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

Interoperability endpoints

  • Direct secure messaging: lharris364074@direct.mmc.mainehealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 37

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1114398252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 N INTERSTATE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271196",
            "telephone_number": "503-285-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CENTRE ST",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045302550",
            "telephone_number": "207-386-1800",
            "fax_number": "207-517-6915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 Roosevelt Trl",
            "address_purpose": "LOCATION",
            "city": "Windham",
            "state": "ME",
            "postal_code": "040624821",
            "country_code": "US",
            "telephone_number": "207-400-8600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3550 N Interstate Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97227",
            "country_code": "US",
            "telephone_number": "503-285-9321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "LUCA",
        "middle_name": "SMITH",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2024-03-06",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201704243NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP151047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "HARRIS",
            "middle_name": "SMITH",
            "credential": "APRN, FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bath, ME

Sources for this page

Verify at the official NPI Registry.