Shekedra Nicole Harris, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11011924 Issued in FL

Practice address

1515 Old Bainbridge Rd
Tallahassee, FL 32303-5340

Phone

(850) 404-6395

NPI assigned

Jan 15, 2021

Last updated

Oct 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Shekedra Nicole Harris Professional name

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Tallahassee Memorial Healthcare Inc

  • General Acute Care Hospital
  • Tallahassee, FL
  • NPI 1437177664
  Medicare reassignment NPD
• Tallahassee Memorial Healthcare Inc

  dba TMH Physician Partners

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1366293102
  NPD
• Tallahassee Memorial Healthcare Inc

  • Internal Medicine Physician
  • Perry, FL
  • NPI 1558681684
  NPD

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1316536162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 BARRINGTON DR",
            "city": "MONTICELLO",
            "state": "FL",
            "postal_code": "323446760",
            "telephone_number": "850-242-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 OLD BAINBRIDGE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323035340",
            "telephone_number": "850-404-6395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1709 Hermitage Blvd",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323082705",
            "country_code": "US",
            "telephone_number": "850-242-3734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SHEKEDRA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11011924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEKEDRA",
            "last_name": "HARRIS",
            "middle_name": "NICOLE",
            "prefix": "MRS.",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lovey Harris, RN
• Margaret Melissa Harris, OTR
• Martha Harris
• Patrick Michael Harris
• Roderick Mashun Harris, MSW
• Sopouria Keyshun Harris
• Tamika Lashae Harris, CNA
• Tammi Harris, PHARMD
• Tremain Bernardo Harris, PHARMD, RPH
• Victoria Shaunterria Harris

• Family Nurse Practitioner in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.

Verify at the official NPI Registry.