Kathleen B Harris, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN031551 Issued in GA

Practice address

500 Highway 89 North
N Az VA Health Care System
Prescott, AZ 86313

Phone

(928) 445-4860

NPI assigned

May 8, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1265608376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 EAST PALOMA DRIVE",
            "address_2": "RT 2 BOX 1G",
            "city": "NAHUNTA",
            "state": "GA",
            "postal_code": "315539601",
            "telephone_number": "912-462-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HIGHWAY 89 NORTH",
            "address_2": "N AZ VA HEALTH CARE SYSTEM",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86313",
            "telephone_number": "928-445-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KATHLEEN",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN031551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Raye Hardin
• Bruce Edmond Hardwick, LMSW
• David Harmon, LSW
• James Wilson Harnish
• Christine Harris, SSP
• Kimberly Dyan Harris, N.D.
• Annie Celeste Hart, PA
• Carlena K Hart, APRN,BC
• Patricia Marie Hartnett, PA C
• Thomas Scott Haslam, PA-C

• Licensed Practical Nurse in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Licensed Practical Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.