Carol Ellen Harrison, R.N.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

RN10911 Issued in NV

Practice address

1700 Buckthorn CT
Minden, NV 89423-4127

Phone

(775) 846-2896

NPI assigned

Apr 14, 2009

Last updated

Apr 14, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239667200000",
    "number": "1174766612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1427",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894231427",
            "telephone_number": "775-846-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 BUCKTHORN CT",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894234127",
            "telephone_number": "775-846-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "CAROL",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-14",
        "last_updated": "2009-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NV",
            "license": "RN10911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Haines
• Stephani Teresa Halladay, LCPC
• Jentri Lind Hames, LSW
• Christopher Harjes, AU.D.
• John Harris
• Dublin J Hart, D.C.
• Monique B. Haviland, MSPT, CSCS, PES, CPI
• Todd Allen Helfman, M.D.
• Justin Henry
• Amber Heredia

• Emotionally Disturbed Childrens' Residential Treatment Facility in Minden, NV
• Providers in Minden, NV by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.