Individual provider Active NPI

Brandy Harris, DNP, CPNP-PC

  • Pediatric Nurse Practitioner
  • Summerville, SC
National Provider Identifier
1124573811
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
ARNP9438846 Issued in FL
Practice address
2016 1St Ave
Summerville, SC 29486-0408
Phone
(843) 873-4545
NPI assigned
Aug 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 21604 SC
Pediatric Nurse Practitioner 363LP0200X ARNP9438846 FL Primary

Addresses

Primary practice location

2016 1St Ave
Summerville, SC 29486-0408

Mailing address

2016 1St Ave
Summerville, SC 29486-0408

Other practice location 1

3117 W Cypress St
Tampa, FL 33607-5107
Phone (706) 461-9478

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
21604SCMDNurse Practitioner
ARNP9438846FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sweetgrass Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bharris@sp.gwaydirect.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1124573811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 1ST AVE",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294860408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 1ST AVE",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294860408",
            "telephone_number": "843-873-4545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3117 W Cypress St",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336075107",
            "country_code": "US",
            "telephone_number": "706-461-9478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "BRANDY",
        "name_prefix": "Dr.",
        "credential": "DNP, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "21604",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP9438846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.