Gerald Dean Harrison III, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

242649 Issued in CA

Practice address

1101 Union Ave # 100
Bakersfield, CA 93307-1050

Phone

(661) 631-1483

Fax

(661) 631-8665

NPI assigned

Jan 31, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jr Harrison Other name

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": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296432000000",
    "number": "1194021618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 UNION AVE # 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933071050",
            "telephone_number": "661-631-1483",
            "fax_number": "661-631-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 UNION AVE # 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933071050",
            "telephone_number": "661-631-1483",
            "fax_number": "661-631-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "GERALD",
        "middle_name": "DEAN",
        "name_suffix": "III",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-31",
        "last_updated": "2011-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "242649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JR",
            "last_name": "HARRISON",
            "credential": "LVN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shanice B Harris
• Alberta Harrison
• Alyssa Carolyn Harrison
• Andrea Kathleen Harrison
• Destiny Harrison
• Juandrai Harrison, PMHNP
• Harsh Patwari DMD, Inc.
• Harsh Patwari DMD, Inc.
• Harsimran Kaur DDS Dental Corporation
• Jennifer Leigh Hart

• Licensed Vocational Nurse in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.