Active NPI
Sally Harrison, CNS
- Clinical Nurse Specialist
- Providence, RI
National Provider Identifier
1164432472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- PNS00009
- Practice address
- 16 Stimson Ave
Providence, RI 02906-3207 - Phone
- (401) 465-3362
- Fax
- (401) 331-7575
- NPI assigned
- Aug 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | PNS00009 | RI | Primary |
Addresses
Primary practice location
16 Stimson Ave
Providence, RI 02906-3207
Mailing address
16 Stimson Ave
Providence, RI 02906-3207
Phone (401) 465-3362
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
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PNS00009 | RI | MD | Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164432472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 STIMSON AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029063207",
"telephone_number": "401-465-3362",
"fax_number": "401-331-7575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 STIMSON AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029063207",
"telephone_number": "401-465-3362",
"fax_number": "401-331-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "SALLY",
"credential": "CNS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "RI",
"license": "PNS00009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.