Justin D Harris, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

309472 Issued in TX

Practice address

3605 NE Loop 286 Ste 200
Paris, TX 75460-5091

Phone

(903) 737-4337

NPI assigned

Mar 14, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1306349550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 COUNTY ROAD 45800",
            "city": "BLOSSOM",
            "state": "TX",
            "postal_code": "754162987",
            "telephone_number": "903-249-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 NE LOOP 286 STE 200",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754605091",
            "telephone_number": "903-737-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JUSTIN",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "309472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED VOCATIONAL NURSE",
            "identifier": "309472",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Canae Canice Hamilton
• Lee Ann Hampton, PHARM.D.
• Hanger Prosthetics & Orthotics West Inc
• Tami Harbuck
• Kelly Diane Harper, PNP
• James R Harrison, PH.D.
• Sherry Harrison
• Destiny D Hart, RN
• Michael S Hartman, M.D.
• Chelsea N Harvey, LVN

• Licensed Vocational Nurse in Paris, TX
• Providers in Paris, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.