Suzanne Elizabeth Harris, LAT, ATC, CEAS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

4291 Issued in NC

Practice address

17230 US Highway 17 N Ste 218
Hampstead, NC 28443-7466

Phone

(910) 821-1506

Fax

(910) 821-1508

NPI assigned

Feb 12, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Electronic endpoints 1

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": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1235761719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 PLUM NEARLY LN APT K",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032759",
            "telephone_number": "717-926-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17230 US HIGHWAY 17 N STE 218",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284437466",
            "telephone_number": "910-821-1506",
            "fax_number": "910-821-1508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 N Saint Johns Church Rd",
            "address_purpose": "LOCATION",
            "city": "Hampstead",
            "state": "NC",
            "postal_code": "284438097",
            "country_code": "US",
            "telephone_number": "717-926-4689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SUZANNE",
        "middle_name": "ELIZABETH",
        "credential": "LAT, ATC, CEAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "006752",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "4291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED ATHLETIC TRAINER",
            "identifier": "2000028027",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED ATHLETIC TRAINER",
            "identifier": "4291",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED ATHLETIC TRAINER",
            "identifier": "006752",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "seharris@benchmarkpt.com",
            "affiliation": "N",
            "endpointDescription": "Company Secure Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Patient progress and communication.",
            "address_1": "17230 US Highway 17 N Ste 218",
            "city": "Hampstead",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284437466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hampstead Optometry PA
• Hampstead Physical Therapy
• Ava Hamzawsky
• Hann'S Healing, PLLC
• Harris Teeter LLC
• Beth Leigh Hauser, LCMHC, LPC
• Cindy W. Hawes, PT
• Hayes Prempeh Knockum and Associates Hampstead, PLLC
• HD Medical, PLLC
• Heartline Medical LLC

• Athletic Trainer in Hampstead, NC
• Providers in Hampstead, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.