Active NPI
Chansila Ork Harris, NP
- Family Nurse Practitioner
- Glen Allen, VA
National Provider Identifier
1194347971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024179325
- Practice address
- 4050 Innslake Dr Ste 360
Glen Allen, VA 23060-3323 - Phone
- (804) 273-0344
- NPI assigned
- May 14, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024179325 | VA | |
| Family Nurse Practitioner | 363LF0000X | 0024179325 | VA | Primary |
Addresses
Primary practice location
4050 Innslake Dr Ste 360
Glen Allen, VA 23060-3323
Mailing address
4050 Innslake Dr Ste 360
Glen Allen, VA 23060-3323
Phone (804) 273-0344
Other practice location 1
3514 W Cary St
Richmond, VA 23221-2729
Phone (804) 355-8533
Other practice location 2
6100 Arlington Blvd
Falls Church, VA 22044-2901
Phone (401) 487-5117
Other practice location 3
11271 Nuckols Rd
Glen Allen, VA 23059-5502
Phone (804) 217-8881
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024179325 | VA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1194347971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4050 INNSLAKE DR STE 360",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230603323",
"telephone_number": "804-273-0344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4050 INNSLAKE DR STE 360",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230603323",
"telephone_number": "804-273-0344"
}
],
"practiceLocations": [
{
"address_1": "3514 W Cary St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232212729",
"country_code": "US",
"telephone_number": "804-355-8533",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6100 Arlington Blvd",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "220442901",
"country_code": "US",
"telephone_number": "401-487-5117",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11271 Nuckols Rd",
"address_purpose": "LOCATION",
"city": "Glen Allen",
"state": "VA",
"postal_code": "230595502",
"country_code": "US",
"telephone_number": "804-217-8881",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "CHANSILA",
"middle_name": "ORK",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-14",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024179325",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024179325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.