Active NPI
Tangee Renee Harris
- Family Nurse Practitioner
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5016525
- Practice address
- 411 S Lasalle St
Durham, NC 27705-3701 - Phone
- (919) 383-5521
- NPI assigned
- Jul 6, 2022
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5016525 | NC | Primary |
Addresses
Primary practice location
411 S Lasalle St
Durham, NC 27705-3701
Mailing address
796 Doctors CT
Roxboro, NC 27573-4571
Phone (336) 598-0002
Other practice location 1
303 E Carver St
Durham, NC 27704-2135
Phone (919) 471-3558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230508001450 | NC | Practitioner - Nurse Practitioner | 5597138008 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complexcare Medical Group Mid-Atlantic H PLLC | Current | Accepting new patients | |
| Theoria Medical | Current | Accepting new patients | |
| Theoria Medical | Family Medicine | Past | Accepting new patients |
Locations
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
303 E Carver St
Durham, NC 27704
Phone (725) 710-9338
411 S Lasalle St
Durham, NC 27705
Phone (919) 383-5521
430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Novi, MI
- NPI 1275427429
NC
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Theoria MedicalComplexcare Medical Group Mid-Atlantic H PLLC
Practice addresses (Care Compare)
303 E Carver St
Durham, NC 27704-2135
Phone (248) 660-1220
411 S Lasalle St
Durham, NC 27705-3701
Phone (919) 383-5521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1114650272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "796 DOCTORS CT",
"city": "ROXBORO",
"state": "NC",
"postal_code": "275734571",
"telephone_number": "336-598-0002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 S LASALLE ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277053701",
"telephone_number": "919-383-5521"
}
],
"practiceLocations": [
{
"address_1": "303 E Carver St",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277042135",
"country_code": "US",
"telephone_number": "919-471-3558",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "TANGEE",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-06",
"last_updated": "2024-10-25",
"certification_date": "2024-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5016525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.