Active NPI
Wendi L Harris, MD
- Pediatrics Physician
- Des Moines, IA
National Provider Identifier
1144546565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 32769
- Practice address
- 1221 Pleasant St Ste 170
Des Moines, IA 50309-1424 - Phone
- (515) 241-4300
- Fax
- (515) 241-4359
- NPI assigned
- Apr 9, 2010
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 32769 | IA | Primary |
Addresses
Primary practice location
1221 Pleasant St Ste 170
Des Moines, IA 50309-1424
Mailing address
1221 Pleasant St Ste 170
Des Moines, IA 50309-1424
Phone (515) 241-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144546565 | Medicaid | IA |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32769 | IA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boone County Hospital | Past | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Critical Access Hospital
- Boone, IA
- NPI 1467434225
-
- Durable Medical Equipment & Medical Supplies
- Des Moines, IA
- NPI 1487687232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394755200000",
"number": "1144546565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 PLEASANT ST STE 170",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091424",
"telephone_number": "515-241-4300",
"fax_number": "515-241-4359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 PLEASANT ST STE 170",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091424",
"telephone_number": "515-241-4300",
"fax_number": "515-241-4359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "WENDI",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-09",
"last_updated": "2014-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IA",
"license": "32769",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144546565",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.