Individual provider Active NPI

Theresa Lynne Harnage

  • Emergency Registered Nurse
  • Kannapolis, NC
National Provider Identifier
1144841446
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Registered NurseTaxonomy code 163WE0003X
License
258408 Issued in NC
Practice address
2711 Lane St
Kannapolis, NC 28083-9217
Phone
(704) 403-4800
NPI assigned
Apr 28, 2020
Last updated
Apr 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 258408 NC Primary

Addresses

Primary practice location

2711 Lane St
Kannapolis, NC 28083-9217

Mailing address

802 Treva Anne Dr SW
Concord, NC 28027-3907
Phone (704) 281-6586

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

State licenses

LicenseStateTypeSpecialty
258408NCMDEmergency Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1144841446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 TREVA ANNE DR SW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280273907",
            "telephone_number": "704-281-6586",
            "fax_number": "863-241-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 LANE ST",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280839217",
            "telephone_number": "704-403-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARNAGE",
        "first_name": "THERESA",
        "middle_name": "LYNNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "NC",
            "license": "258408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kannapolis, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.