Individual provider Active NPI

Melissa Day Harris, APRN

  • Nurse Practitioner
  • Nicholasville, KY
National Provider Identifier
1295095230
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3007502 Issued in KY
Practice address
101 Orchard Dr
Nicholasville, KY 40356-2690
Phone
(859) 881-4288
NPI assigned
May 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1078865 KY
Nurse Practitioner 363L00000X 3007502 KY Primary

Addresses

Primary practice location

101 Orchard Dr
Nicholasville, KY 40356-2690

Mailing address

1401 Madison Ave
Covington, KY 41011-3313
Phone (859) 655-6100

Other practice location 1

1250 Keene Rd
Suite 104
Nicholasville, KY 40356-7600
Phone (859) 887-6851

Other identifiers 1

IdentifierTypeStateIssuer
79100219420MedicaidKY

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
1078865KYMDRegistered Nurse
3007502KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Family Practice, PSC CurrentSince Jul 22, 2012 Accepting new patients

Locations

4 N Highland St
#A
Winchester, KY 40391
Phone (859) 744-1445

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23784/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1295095230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MADISON AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410113313",
            "telephone_number": "859-655-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ORCHARD DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403562690",
            "telephone_number": "859-881-4288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 Keene Rd",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Nicholasville",
            "state": "KY",
            "postal_code": "403567600",
            "country_code": "US",
            "telephone_number": "859-887-6851",
            "fax_number": "859-887-6878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MELISSA",
        "middle_name": "DAY",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1078865",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3007502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79100219420",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.