Individual provider Active NPI

Tori Christian Harrison, FNP-C

  • Family Medicine Physician
  • Dothan, AL
National Provider Identifier
1144969833
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1-148575 Issued in AL
Practice address
364 Honeysuckle Rd
Dothan, AL 36305-1140
Phone
(334) 794-8656
Fax
(334) 702-7047
NPI assigned
Jun 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F05220831 AL
Family Medicine Physician 207Q00000X 1-148575 AL Primary

Addresses

Primary practice location

364 Honeysuckle Rd
Dothan, AL 36305-1140

Mailing address

364 Honeysuckle Rd
Dothan, AL 36305-1140
Phone (334) 794-8656

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 334-702-7047 Southeastern Pediatric Associates, P.A.

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
1-148575ALMDFamily Medicine Physician
F05220831ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Pediatric Associates, P.a. PastSince Jun 5, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: toriharrison@spap-al.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1144969833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 HONEYSUCKLE RD",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051140",
            "telephone_number": "334-794-8656",
            "fax_number": "334-702-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 HONEYSUCKLE RD",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051140",
            "telephone_number": "334-794-8656",
            "fax_number": "334-702-7047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "TORI",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "F05220831",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1-148575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "334-702-7047",
            "affiliation": "Y",
            "endpointDescription": "fax machine",
            "affiliationName": "Southeastern Pediatric Associates, P.A.",
            "address_1": "364 Honeysuckle Rd",
            "city": "Dothan",
            "state": "AL",
            "country_code": "US",
            "postal_code": "363051140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.

Verify at the official NPI Registry.