Paulette Sue Harris, SUDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP00002227 Issued in WA

Practice address

719 E Main Ste C
Puyallup, WA 98372-3306

Phone

(425) 280-7852

Fax

(253) 841-8168

NPI assigned

Sep 26, 2019

Last updated

Sep 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1215588579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 E MAIN STE C",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723306",
            "telephone_number": "425-280-7852",
            "fax_number": "253-841-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 E MAIN STE C",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723306",
            "telephone_number": "425-280-7852",
            "fax_number": "253-841-8168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "PAULETTE",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "SUDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00002227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Harris, LMP
• Hilary Anne Harris, ARNP
• Jaden Harris, PA-C
• Laurel R Harris, MD
• Michael Anthony Harris, MD
• Theresa J Harris, ARNP
• Tonya Harris, D.O.
• Rachelle Harrison, RN
• Hartland Dental Group
• Kara L Hartman, ARNP

• Addiction (Substance Use Disorder) Counselor in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.