Jeffery Harris, LEAD INSPECTOR

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

LI00096 Issued in RI

Practice address

3 Capitol HL Ste 206
Providence, RI 02908-5034

Phone

(401) 222-7751

Fax

(401) 222-2456

NPI assigned

Aug 1, 2024

Sex

Male

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": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1184453565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 MAIN ST STE 201",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014342",
            "telephone_number": "508-543-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CAPITOL HL STE 206",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029085034",
            "telephone_number": "401-222-7751",
            "fax_number": "401-222-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JEFFERY",
        "credential": "LEAD INSPECTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "RI",
            "license": "LI00096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Ryan Harrington
• Annette Marie Harris, MSW, LICSW
• Charles Macloren Harris, LCSW
• Christy Harris, LICSW
• Daniel E Harris
• Laura Harris, BA, CADC, LPRS, LCDP
• Madison Harris, LMHC-A
• Michelle Labrie Harris, LICSW
• Noelle C. Harris, LMHC
• Rachel Harris, MS RD CSP CNSC LDN

• Case Manager/Care Coordinator in Providence, RI
• Providers in Providence, RI by specialty
• Case Manager/Care Coordinator in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.