Monica A Harris, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP611011578 Issued in WA

Practice address

630 N Fairview Dr
Tacoma, WA 98406-1015

Phone

(253) 777-1423

Fax

(206) 673-8050

NPI assigned

Mar 20, 2020

Sex

Female

Sole proprietor

Yes

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 WA, HI, OR3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fandm Healthcare, LLCGroup PAC ID 8628462983, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eden Home Health Home health agency, Bellingham, WA, CCN 507105
• Fir Lane Care Nursing home, Shelton, WA, CCN 505230

Merit-based Incentive Payment System (MIPS)

Final score

76.42 of 100Reported as apm

Quality

55.23

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• F&M Healthcare, LLC

  • Internal Medicine Physician
  • University Place, WA
  • NPI 1861145120
  Medicare reassignment Care Compare group NPD
• Daiya Healthcare PLLC

  • Internal Medicine Physician
  • Bellevue, WA
  • NPI 1477027381

  OR

  Medicare reassignment
• Fir Lane Care LLC

  • Skilled Nursing Facility
  • Shelton, WA
  • NPI 1013714914
  NPD (past)
• Fir Lane Health-Shelton,LLC

  • Skilled Nursing Facility
  • Shelton, WA
  • NPI 1831603075
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Empres Home Health of Bellingham, LLC

  • Home Health Agency
  • Bellingham, WA
  • NPI 1316031230
  Care Compare affiliation
• Fir Lane Care LLC

  • Skilled Nursing Facility
  • Shelton, WA
  • NPI 1013714914

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1225664386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1078 S 800 E",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843322400",
            "telephone_number": "435-363-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N FAIRVIEW DR",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984061015",
            "telephone_number": "253-777-1423",
            "fax_number": "206-673-8050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1078 S 800 E",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "UT",
            "postal_code": "843322400",
            "country_code": "US",
            "telephone_number": "435-363-5770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MONICA",
        "middle_name": "A",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-20",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "217314-4405",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP611011578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lance A Harris, PH.D.
• Lashanda Evette Harris, M.A.
• Marian S. Harris, PH.D.
• Marissa Harris
• Mark W Harris, MD
• Natasha Christine Harris, RNA
• Nevaeh Harris
• Qena Ortiz Harris
• Raven Celia Ellen Harris
• Sandra Jane Harris

• Family Nurse Practitioner in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.