John Harrison

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

8119 Issued in MN

Practice address

625 Hayward Ave N
Oakdale, MN 55128-7127

Phone

(651) 410-7955

NPI assigned

Apr 27, 2021

Last updated

Jul 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Yourtime Psychiatry and Medical Cannabis LLC

  • Clinic/Center
  • Maple Grove, MN
  • NPI 1164112090
  Medicare reassignment Authorized official
• Better Outlook LLC

  dba Better Outlook

  • Psychiatric/Mental Health Nurse Practitioner
  • Oakdale, MN
  • NPI 1447755814
  NPD
• Blossom Wellness LLC

  • Clinic/Center
  • Oakdale, MN
  • NPI 1164289690
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1205418340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 HAYWARD AVE N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551287127",
            "telephone_number": "651-410-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 HAYWARD AVE N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551287127",
            "telephone_number": "651-410-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "2310895",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "8119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Rose Hannan, LICSW
• Andrew J Hanson, MD
• Peggy F Hanson, LMFT
• Stacia R Hanson, LP
• Shelby Harmon, LPCC
• Ebyan Abdirazaq Hassan
• Khalid Hassan
• Sumaya Abdalla Hassan
• Alison Paige Hawkinson, PSY.D., L.P.
• Rochelle Lynn Hawthorne, MS, LPC

• Psychiatric/Mental Health Nurse Practitioner in Oakdale, MN
• Providers in Oakdale, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.