Active NPI
Telemachus Girard Harrison, LPN
- Licensed Practical Nurse
- Burlington, NC
National Provider Identifier
1235701871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 89355
- Practice address
- 408 Alamance Rd Ste D
Burlington, NC 27215-6178 - Phone
- (336) 350-7858
- Fax
- (336) 350-9546
- NPI assigned
- Jul 13, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 89355 | NC | Primary |
Addresses
Primary practice location
408 Alamance Rd Ste D
Burlington, NC 27215-6178
Mailing address
408 Alamance Rd Ste D
Burlington, NC 27215-6178
Phone (336) 350-7858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21683 | Other | NC | PROVIDER IDENTIFICATION |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Tharrison@seasidehc.com | Other |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89355 | NC | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626134400000",
"number": "1235701871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 ALAMANCE RD STE D",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272156178",
"telephone_number": "336-350-7858",
"fax_number": "336-350-9546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 ALAMANCE RD STE D",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272156178",
"telephone_number": "336-350-7858",
"fax_number": "336-350-9546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "TELEMACHUS",
"middle_name": "GIRARD",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-13",
"last_updated": "2021-07-13",
"certification_date": "2021-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NC",
"license": "89355",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER IDENTIFICATION",
"identifier": "21683",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Tharrison@seasidehc.com",
"affiliation": "N",
"endpointDescription": "Business email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "direct message",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "408 Alamance Rd Ste D",
"city": "Burlington",
"state": "NC",
"country_code": "US",
"postal_code": "272156178",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Burlington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.