Active NPI
Charneice Harris, NP
- Family Nurse Practitioner
- Newport News, VA
National Provider Identifier
1255888145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024173889
- Practice address
- 700 Tech Center Pkwy Ste 200-13
Ste 200-13
Newport News, VA 23606-3075 - Phone
- (757) 504-2563
- NPI assigned
- Sep 8, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024173889 | VA | Primary |
Addresses
Primary practice location
700 Tech Center Pkwy Ste 200-13
Ste 200-13
Newport News, VA 23606-3075
Mailing address
700 Tech Center Pkwy Ste 200-13
Ste 200-13
Newport News, VA 23606-3075
Other practice location 1
30 Maryland Place
3rd Floor
St Louis, MO 63108
Phone (314) 720-1644
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10583 | CT | MD | Pharmacist |
Interoperability endpoints
- charneice.harris.1@30093.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1255888145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 TECH CENTER PKWY STE 200-13",
"address_2": "STE 200-13",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236063075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 TECH CENTER PKWY STE 200-13",
"address_2": "STE 200-13",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236063075",
"telephone_number": "757-504-2563"
}
],
"practiceLocations": [
{
"address_1": "30 Maryland Place",
"address_2": "3rd Floor",
"address_purpose": "LOCATION",
"city": "St Louis",
"state": "MO",
"postal_code": "63108",
"country_code": "US",
"telephone_number": "314-720-1644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "CHARNEICE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-08",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024173889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.