Active NPI
Kevin Lee Harris, RRT
- Registered Respiratory Therapist
- St Augustine, FL
National Provider Identifier
1184981508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- RT 11571
- Practice address
- 2936 Collins Ave
St Augustine, FL 32084-1932 - Phone
- (386) 937-7395
- NPI assigned
- Apr 23, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Respiratory Therapist | 227900000X | RT 11571 | FL | Primary |
Addresses
Primary practice location
2936 Collins Ave
St Augustine, FL 32084-1932
Mailing address
2936 Collins Ave
St Augustine, FL 32084-1932
Phone (386) 937-7395
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT 11571 | FL | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335139200000",
"number": "1184981508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2936 COLLINS AVE",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320841932",
"telephone_number": "386-937-7395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2936 COLLINS AVE",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320841932",
"telephone_number": "386-937-7395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "KEVIN",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "RRT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-23",
"last_updated": "2012-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "FL",
"license": "RT 11571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.