Active NPI
Kathy M Harris, NP
- Obstetrics & Gynecology Nurse Practitioner
- Greensboro, NC
National Provider Identifier
1215255153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 800030
- Practice address
- 510 N Elam Ave
Suite 101
Greensboro, NC 27403-1150 - Phone
- (336) 854-8800
- NPI assigned
- May 16, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 800030 | NC | Primary |
Addresses
Primary practice location
510 N Elam Ave
Suite 101
Greensboro, NC 27403-1150
Mailing address
510 N Elam Ave
Suite 101
Greensboro, NC 27403-1150
Phone (336) 854-8800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89014FU | Medicaid | NC |
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 |
|---|---|---|---|
| 800030 | NC | MD | Obstetrics & Gynecology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383523200000",
"number": "1215255153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 N ELAM AVE",
"address_2": "SUITE 101",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274031150",
"telephone_number": "336-854-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 N ELAM AVE",
"address_2": "SUITE 101",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274031150",
"telephone_number": "336-854-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "KATHY",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-16",
"last_updated": "2013-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "NC",
"license": "800030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89014FU",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.