Active NPI
Janel Nadia Harris, RN
- Community Health Registered Nurse
- Newark, CA
National Provider Identifier
1154080588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 822207
- Practice address
- 6066 Civic Terrace Ave
Newark, CA 94560-3746 - Phone
- (510) 505-1600
- NPI assigned
- Dec 13, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 822207 | CA | |
| Community Health Registered Nurse | 163WC1500X | 822207 | CA | Primary |
Addresses
Primary practice location
6066 Civic Terrace Ave
Newark, CA 94560-3746
Mailing address
24147 Amaranth Loop
Hayward, CA 94541-6703
Phone (408) 693-0174
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 822207 | CA | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639353600000",
"number": "1154080588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24147 AMARANTH LOOP",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945416703",
"telephone_number": "408-693-0174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6066 CIVIC TERRACE AVE",
"city": "NEWARK",
"state": "CA",
"postal_code": "945603746",
"telephone_number": "510-505-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "JANEL",
"middle_name": "NADIA",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-13",
"last_updated": "2021-12-13",
"certification_date": "2021-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "CA",
"license": "822207",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "CA",
"license": "822207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.