Active NPI
Katherine C Farrell Harris, R.D., C.D.N., C.D.E.
- Registered Dietitian
- New York, NY
National Provider Identifier
1265665616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 005474
- Practice address
- 52 Duane St
New York, NY 10007-1207 - Phone
- (646) 680-4227
- Fax
- (516) 542-5556
- NPI assigned
- Sep 2, 2009
- Last updated
- Sep 1, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 005474 | NY | Primary |
| Diabetes Educator Registered Nurse | 163WD0400X | 20510119 | NY |
Addresses
Primary practice location
52 Duane St
New York, NY 10007-1207
Mailing address
Advantagecare Physicians, PC
55 Water Street 2ND Floor Cred Dept
New York, NY 10041-0004
Phone (646) 680-2888
Other practice location 1
21 East 22nd Street
New York, NY 10010-9995
Phone (212) 460-7800
Other practice location 2
1050 Clove Road
Staten Island, NY 10301-3627
Phone (718) 816-6440
Other practice location 3
590 5th Ave
New York, NY 10036-4702
Phone (212) 582-7117
Other practice location 4
96-10 Metropolitan Ave
Forest Hills, NY 11375-6625
Phone (718) 459-0400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03459592 | Medicaid | NY | |
| 000600027483 | Other | NY | HEALTH PLUS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20510119 | NY | MD | Diabetes Educator Registered Nurse |
| 005474 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1265665616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ADVANTAGECARE PHYSICIANS, PC",
"address_2": "55 WATER STREET 2ND FLOOR CRED DEPT",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100410004",
"telephone_number": "646-680-2888",
"fax_number": "516-542-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 DUANE ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100071207",
"telephone_number": "646-680-4227",
"fax_number": "516-542-5556"
}
],
"practiceLocations": [
{
"address_1": "21 East 22nd Street",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100109995",
"country_code": "US",
"telephone_number": "212-460-7800",
"fax_number": "212-460-7877",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1050 Clove Road",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103013627",
"country_code": "US",
"telephone_number": "718-816-6440",
"fax_number": "718-816-3611",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "590 5th Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100364702",
"country_code": "US",
"telephone_number": "212-582-7117",
"fax_number": "212-484-3530",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "96-10 Metropolitan Ave",
"address_purpose": "LOCATION",
"city": "Forest Hills",
"state": "NY",
"postal_code": "113756625",
"country_code": "US",
"telephone_number": "718-459-0400",
"fax_number": "718-670-6479",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARRELL HARRIS",
"first_name": "KATHERINE",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "R.D., C.D.N., C.D.E.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-02",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "005474",
"primary": true
},
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "NY",
"license": "20510119",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03459592",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS",
"identifier": "000600027483",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.