Active NPI
Joseph Richard Harrison
- Licensed Practical Nurse
- Colorado Springs, CO
National Provider Identifier
1194875005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 30122
- Practice address
- 1680 Felkins Street, Embedded Behavioral Health Team 5
BLDG. 1226
Colorado Springs, CO 80913 - Phone
- (719) 503-7709
- Fax
- (719) 526-8770
- NPI assigned
- Jan 11, 2007
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 30122 | CO | Primary |
Addresses
Primary practice location
1680 Felkins Street, Embedded Behavioral Health Team 5
BLDG. 1226
Colorado Springs, CO 80913
Mailing address
1680 Felkins Street, Embedded Behavioral Health Team 5
BLDG. 1226
Colorado Springs, CO 80913
Phone (719) 503-7709
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 |
|---|---|---|---|
| 30122 | CO | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633305600000",
"number": "1194875005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1680 FELKINS STREET, EMBEDDED BEHAVIORAL HEALTH TEAM 5",
"address_2": "BLDG. 1226",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80913",
"telephone_number": "719-503-7709",
"fax_number": "719-526-8770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 FELKINS STREET, EMBEDDED BEHAVIORAL HEALTH TEAM 5",
"address_2": "BLDG. 1226",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80913",
"telephone_number": "719-503-7709",
"fax_number": "719-526-8770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "JOSEPH",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2021-10-04",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "CO",
"license": "30122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.