Individual provider Active NPI

Tangee Renee Harris

  • Family Nurse Practitioner
  • Durham, NC
National Provider Identifier
1114650272
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5016525 Issued in NC
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

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Complexcare Medical Group Mid-Atlantic H PLLC CurrentSince Sep 17, 2025 Accepting new patients
Theoria Medical CurrentSince Sep 23, 2024 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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Theoria Medical 317 clinicians
Complexcare Medical Group Mid-Atlantic H PLLC 24 clinicians

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

Verify at the official NPI Registry.