Active NPI
Theresa Harrison, RN
- Registered Nurse
- Oxnard, CA
National Provider Identifier
1275988388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 482141
- Practice address
- 2220 E Gonzales Rd
Ste 102
Oxnard, CA 93036-3707 - Phone
- (805) 850-5634
- NPI assigned
- Apr 26, 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 482141 | CA | Primary |
Addresses
Primary practice location
2220 E Gonzales Rd
Ste 102
Oxnard, CA 93036-3707
Mailing address
2220 E Gonzales Rd
Oxnard, CA 93036-3707
Phone (805) 850-5634
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 482141 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461628800000",
"number": "1275988388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2220 E GONZALES RD",
"city": "OXNARD",
"state": "CA",
"postal_code": "930363707",
"telephone_number": "805-850-5634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2220 E GONZALES RD",
"address_2": "STE 102",
"city": "OXNARD",
"state": "CA",
"postal_code": "930363707",
"telephone_number": "805-850-5634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "THERESA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-26",
"last_updated": "2016-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "482141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.