Kenisha Harden, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN208339 Issued in GA

Practice address

4591 Burnt Fork Cir
Douglasville, GA 30135-8954

Phone

(706) 373-8132

NPI assigned

Jul 26, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kenisha Harden Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1174296198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4591 BURNT FORK CIR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301358954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4591 BURNT FORK CIR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301358954",
            "telephone_number": "706-373-8132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDEN",
        "first_name": "KENISHA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN208339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENISHA",
            "last_name": "HARDEN",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nabila Zafar Haque
• Benjamin Harber
• Sandra E. Harbin, PT
• Brandon Edward Hard, D.C.
• Kamiti Undesa Harden, D.D.S.
• Amanda Harding
• Michael Shane Harding, RPH
• Erin Kathleen Harkins, D.M.D.
• Sara Haroon Yousuf, PA-C
• Mia Annette Harper, ED SPECIALIST/MASTER

• Family Nurse Practitioner in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.

Verify at the official NPI Registry.