Jessica Nicole Harris, R.N.

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

660510 Issued in CA

Practice address

19601 Mariner Ave
Torrance, CA 90503-1647

Phone

(310) 371-0813

Fax

(310) 371-6851

NPI assigned

Dec 11, 2007

Last updated

Dec 11, 2007By 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

Other names 1

• Mrs. Jessica Nicole Wayman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1225211311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BELMONT AVE UNIT 306",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908045965",
            "telephone_number": "310-371-0813",
            "fax_number": "310-371-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19601 MARINER AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905031647",
            "telephone_number": "310-371-0813",
            "fax_number": "310-371-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "CA",
            "license": "660510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WAYMAN",
            "middle_name": "NICOLE",
            "prefix": "MRS.",
            "credential": "R.N.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ty Harries
• Adeline Harrington
• Robbie Racheal Harris-Depriest, CTRS
• Angela Renee Harris
• Brutus Antonius Harris
• Kathryn Acacia Harris
• Marquisha Harris
• Raelysa Harris
• Randy Harris, ATC
• Ayana Harrison

• Diabetes Educator Registered Nurse in Torrance, CA
• Providers in Torrance, CA by specialty
• Diabetes Educator Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.