Vatisha Gayle Harris

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

1204019742 Issued in VA

Practice address

3933 Poplar Hill Rd
Chesapeake, VA 23321-5515

Phone

(757) 483-0050

NPI assigned

Dec 18, 2015

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

State licenses

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1174988166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3929 GALLEON DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233213413",
            "telephone_number": "757-575-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3933 POPLAR HILL RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215515",
            "telephone_number": "757-483-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "VATISHA",
        "middle_name": "GAYLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-18",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "VA",
            "license": "1204019742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Beverly Harris Jr.
• Jennifer Elaine Roe Harris, RBT
• Karen Harris
• Lily Harris
• Shevona Renee Harris
• Kasey Harroun, PHARMD
• Harry a Fee DPM PC
• Harry Squire
• Jennifer L Harry
• Leanne Hartbarger

• Prosthetics Case Management in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Prosthetics Case Management in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.