Active NPI
Caren T Harris, NP
- Pediatric Nurse Practitioner
- Boston, MA
National Provider Identifier
1184751067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 169621
- Practice address
- Warren 1, Pediatric Surgery Mghfc
55 Fruit St
Boston, MA 02114 - Phone
- (617) 643-0814
- NPI assigned
- Feb 27, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 169621 | MA | Primary |
Addresses
Primary practice location
Warren 1, Pediatric Surgery Mghfc
55 Fruit St
Boston, MA 02114
Mailing address
Warren 1, Pediatric Surgery Mghfc
55 Fruit St
Boston, MA 02114
Phone (617) 643-0814
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184751067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WARREN 1, PEDIATRIC SURGERY MGHFC",
"address_2": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-643-0814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WARREN 1, PEDIATRIC SURGERY MGHFC",
"address_2": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-643-0814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "CAREN",
"middle_name": "T",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MA",
"license": "169621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
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.