Active NPI
Katrina Denise Harris, RMA
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
- Ann Arbor, MI
National Provider Identifier
1124740402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 0000000000000
- Practice address
- 2140 E Ellsworth Rd
Ann Arbor, MI 48108-2552 - Phone
- (734) 544-3000
- Fax
- (734) 544-6716
- NPI assigned
- Sep 14, 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0807X | 0000000000000 | MI | Primary |
Addresses
Primary practice location
2140 E Ellsworth Rd
Ann Arbor, MI 48108-2552
Mailing address
555 Towner St
Ypsilanti, MI 48198-5723
Phone (734) 544-3000
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)
- Not enrolled
- Credentials
- Registered Medical Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000000000000 | MI | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1124740402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 TOWNER ST",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481985723",
"telephone_number": "734-544-3000",
"fax_number": "734-544-6716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 E ELLSWORTH RD",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481082552",
"telephone_number": "734-544-3000",
"fax_number": "734-544-6716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "KATRINA",
"middle_name": "DENISE",
"name_prefix": "Ms.",
"credential": "RMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-14",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0807X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
"state": "MI",
"license": "0000000000000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.