Darrel Alan Harris, R.N.

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

124205 Issued in MO

Practice address

1206 Pequeno LN
Fenton, MO 63026-3673

Phone

(636) 861-7633

Fax

(636) 861-7633

NPI assigned

Nov 8, 2007

Sex

Male

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1306026190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 PEQUENO LN",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630263673",
            "telephone_number": "636-861-7633",
            "fax_number": "636-861-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 PEQUENO LN",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630263673",
            "telephone_number": "636-861-7633",
            "fax_number": "636-861-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DARREL",
        "middle_name": "ALAN",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MO",
            "license": "124205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary M Hammel, FNP
• Joel Hammond, MD
• James Edwin Hanny, MA, MSC. CCC/SLP
• Mansoor Ul Haq, M.D.
• Tiffany Shanta Harold, APRN
• Ryan Harris, FNP-C
• Amanda Haury, LPC
• Hawkins Heights Dental
• Christopher M Hawkins, DDS
• Anthony Hayibor

• Adult Psychiatric/Mental Health Registered Nurse in Fenton, MO
• Providers in Fenton, MO by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Missouri

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

Verify at the official NPI Registry.