Individual provider Active NPI

Katrina Jones Harris, FNP-C

  • Family Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1316491046
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-117790 Issued in AL
Practice address
4150 Carmichael Rd Ste B
Montgomery, AL 36106-2933
Phone
(334) 293-8282
Fax
(334) 293-8286
NPI assigned
Aug 10, 2016
Last updated
Apr 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-117790 AL Primary

Addresses

Primary practice location

4150 Carmichael Rd Ste B
Montgomery, AL 36106-2933

Mailing address

1722 Pine St Ste 203
Montgomery, AL 36106-1158
Phone (334) 293-8736

Other practice location 1

1805 Station Dr
Suite A
Prattville, AL 36066-5667
Phone (334) 730-0877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161107001096 AL Practitioner - Nurse Practitioner 8527346915 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trucare Family Medicine LLCGroup PAC ID 7810426921, 2 clinicians

Practice addresses (Care Compare)

4282 Lomac St
Montgomery, AL 36106-3604
Phone (334) 232-0388

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Hospital and Clinic, Inc. Current Accepting new patients
Jackson Hospital & Clinic, Inc. CurrentSince Apr 27, 2020 Accepting new patients
Trucare Family Medicine, LLC CurrentSince Feb 1, 2025 Accepting new patients
Jackson Hospital and Clinic, Inc CurrentSince Apr 27, 2020 Accepting new patients

Locations

1722 Pine St
Ste 203
Montgomery, AL 36106
Phone (334) 271-1263

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

1801 Pine St
Ste 103
Montgomery, AL 36106
Phone (334) 293-8888

4150 Carmichael Rd
Ste B
Montgomery, AL 36106
Phone (334) 293-8282

4282 Lomac St
Montgomery, AL 36106
Phone (205) 294-1080

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1316491046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 PINE ST STE 203",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061158",
            "telephone_number": "334-293-8736",
            "fax_number": "334-293-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 CARMICHAEL RD STE B",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062933",
            "telephone_number": "334-293-8282",
            "fax_number": "334-293-8286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1805 Station Dr",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Prattville",
            "state": "AL",
            "postal_code": "360665667",
            "country_code": "US",
            "telephone_number": "334-730-0877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES HARRIS",
        "first_name": "KATRINA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-10",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-117790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.