Individual provider Active NPI

Renee Rice Harless, MD

  • Family Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1306879077
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
018396 Issued in TN
Practice address
725 Glenwood Drive
Suite E-490
Chattanooga, TN 37404-1189
Phone
(423) 624-8866
Fax
(423) 591-8601
NPI assigned
Jul 8, 2006
Last updated
Jan 2, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 018396 TN Primary

Addresses

Primary practice location

725 Glenwood Drive
Suite E-490
Chattanooga, TN 37404-1189

Mailing address

725 Glenwood Drive
Suite E-490
Chattanooga, TN 37404-1189
Phone (423) 624-8866

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
018396TNMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1306879077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 GLENWOOD DRIVE",
            "address_2": "SUITE E-490",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041189",
            "telephone_number": "423-624-8866",
            "fax_number": "423-591-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 GLENWOOD DRIVE",
            "address_2": "SUITE E-490",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041189",
            "telephone_number": "423-624-8866",
            "fax_number": "423-591-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLESS",
        "first_name": "RENEE",
        "middle_name": "RICE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "018396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.