Stacy Harris, A.P.N.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

A03027 Issued in AR

Practice address

525 Western Ave Ste 304
Conway, AR 72034-4981

Phone

(501) 327-7555

Fax

(501) 327-9466

NPI assigned

Jun 18, 2009

Last updated

Jun 18, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• University of Central Arkansas

  • Physical Therapist
  • Conway, AR
  • NPI 1790439602
  NPD (past)

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245283200000",
    "number": "1134356942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 WESTERN AVE STE 304",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344981",
            "telephone_number": "501-327-7555",
            "fax_number": "501-327-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 WESTERN AVE STE 304",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344981",
            "telephone_number": "501-327-7555",
            "fax_number": "501-327-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "STACY",
        "name_prefix": "Mrs.",
        "credential": "A.P.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AR",
            "license": "A03027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Marie Harris, SLP
• Michael Harris, CMP
• Paula Harris, RECOVERY ASSISTANT
• Regan Nicole Harris, BCBA
• Sarah Beth Harris
• Sydney Leann Harris
• Tahnya Harris, PHARM.D.
• Terrence Lashanda Harris
• Harrison Counseling, PLLC
• Kylee Faith Harrison

• Adult Health Nurse Practitioner in Conway, AR
• Providers in Conway, AR by specialty
• Adult Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.