Active NPI
Tara Danielle Harris, MD
- Hospitalist Physician
- Coral Gables, FL
National Provider Identifier
1306089396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- ME113247
- Practice address
- 5955 Ponce de Leon Blvd.
Coral Gables, FL 33146 - Phone
- (305) 661-1515
- Fax
- (305) 662-3723
- NPI assigned
- Apr 7, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME113247 | FL | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | ME113247 | FL | |
| Hospitalist Physician | 208M00000X | ME113247 | FL | Primary |
Addresses
Primary practice location
5955 Ponce de Leon Blvd.
Coral Gables, FL 33146
Mailing address
5955 Ponce de Leon Blvd.
Coral Gables, FL 33146
Phone (305) 661-1515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME113247 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidz Medical Services, Inc | Pediatric Critical Care Medicine | Current | Accepting new patients |
| Kidz Medical Services, Inc | Current | Accepting new patients |
Locations
9980 Central Park Blvd N
Ste 318
Boca Raton, FL 33428
Phone (561) 451-0500
5955 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 662-8668
975 Baptist Way
Ste 203
Homestead, FL 33033
Phone (305) 242-8200
Organizations & group practices 2
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.
-
- Children's Hospital
- Coral Gables, FL
- NPI 1366408379
Pediatric Critical Care Medicine
-
- Pediatric Nephrology Physician
- South Miami, FL
- NPI 1730637927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521590400000",
"number": "1306089396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5955 PONCE DE LEON BLVD.",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "33146",
"telephone_number": "305-661-1515",
"fax_number": "305-662-3723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5955 PONCE DE LEON BLVD.",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "33146",
"telephone_number": "305-661-1515",
"fax_number": "305-662-3723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "TARA",
"middle_name": "DANIELLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-07",
"last_updated": "2018-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME113247",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "FL",
"license": "ME113247",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME113247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.