Individual provider Active NPI

Charneice Harris, NP

  • Family Nurse Practitioner
  • Newport News, VA
National Provider Identifier
1255888145
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024173889 Issued in VA
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

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
10583CTMDPharmacist

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.