Individual provider Active NPI

Ashley Nicole Harris, FNP-C

  • Family Nurse Practitioner
  • Edna, TX
National Provider Identifier
1134582885
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130702 Issued in TX
Practice address
1013A S Wells St
Edna, TX 77957-4045
Phone
(361) 782-7820
NPI assigned
Mar 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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 AP130702 TX Primary

Addresses

Primary practice location

1013A S Wells St
Edna, TX 77957-4045

Mailing address

PO Box 783
Edna, TX 77957-0783
Phone (361) 308-0707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220908000472 TX Practitioner - Nurse Practitioner 5496139594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson County Hospital DistrictGroup PAC ID 2365423795, 20 clinicians

Practice addresses (Care Compare)

1013 A S Wells St
Edna, TX 77957-4045

1013 S Wells St
Edna, TX 77957-4045
Phone (361) 782-7800

Hospital & facility affiliations

  • Jackson Healthcare Center Hospital, Edna, TX, CCN 451363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Hospital District Current Accepting new patients
Jackson County Hospital District CurrentSince May 26, 2022 Accepting new patients
Jackson County Hospital District CurrentSince May 26, 2022 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

1013 S Wells St
Ste B
Edna, TX 77957

1013 S Wells St
#B
Edna, TX 77957
Phone (361) 782-7800

1013 S Wells St
#A
Edna, TX 77957
Phone (361) 782-3560

1013A S Wells St
Edna, TX 77957
Phone (361) 782-3560

1013 S Wells St
Edna, TX 77957
Phone (361) 782-5241

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1134582885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783",
            "city": "EDNA",
            "state": "TX",
            "postal_code": "779570783",
            "telephone_number": "361-308-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013A S WELLS ST",
            "city": "EDNA",
            "state": "TX",
            "postal_code": "779574045",
            "telephone_number": "361-782-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edna, TX

Sources for this page

Verify at the official NPI Registry.