Active NPI
Renee Rice Harless, MD
- Family Medicine Physician
- Chattanooga, TN
National Provider Identifier
1306879077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 018396
- 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, 2014
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 018396 | TN | MD | Family 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.