Active NPI
Cheryl R. Harris, RN
- Registered Nurse
- Austin, TX
National Provider Identifier
1295955722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 710090
- Practice address
- 1631 E 2ND St Ste D
Austin, TX 78702-4491 - Phone
- (512) 804-3600
- Fax
- (512) 476-1469
- NPI assigned
- Apr 26, 2007
- 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 | 710090 | TX | Primary |
Addresses
Primary practice location
1631 E 2ND St Ste D
Austin, TX 78702-4491
Mailing address
1430 Collier St
Austin, TX 78704-2911
Phone (512) 445-7787
Other names 1
- Ms. Cheryl Renee Harris
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 |
|---|---|---|---|
| 710090 | TX | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295955722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 COLLIER ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787042911",
"telephone_number": "512-445-7787",
"fax_number": "512-440-4059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1631 E 2ND ST STE D",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787024491",
"telephone_number": "512-804-3600",
"fax_number": "512-476-1469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "CHERYL",
"middle_name": "R.",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "710090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHERYL",
"last_name": "HARRIS",
"middle_name": "RENEE",
"prefix": "MS.",
"credential": "RN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.