Individual provider Active NPI

Tatianna Elaine Harris, FNP-C

  • Family Nurse Practitioner
  • Mansfield, TX
National Provider Identifier
1326724964
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1127167 Issued in TX
Practice address
120 N Miller Rd Ste 100
Mansfield, TX 76063-9106
Phone
(682) 341-7330
NPI assigned
Jun 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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 1127167 TX Primary

Addresses

Primary practice location

120 N Miller Rd Ste 100
Mansfield, TX 76063-9106

Mailing address

7607 Black Willow LN
Arlington, TX 76002-4627
Phone (214) 402-9365

Other practice location 1

2302 Lone Star Rd Ste 260
Mansfield, TX 76063-8754
Phone (682) 341-7330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241112003784 TX Practitioner - Nurse Practitioner 3870027972 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1127167TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Huguley Medical Associates CurrentSince Oct 7, 2024 Accepting new patients

Locations

11797 South Fwy
Ste 242
Burleson, TX 76028
Phone (817) 568-1981

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

120 N Miller Rd
Ste 100
Mansfield, TX 76063
Phone (682) 341-7330

2302 Lone Star Rd
Ste 260
Mansfield, TX 76063
Phone (682) 341-7230

Interoperability endpoints

  • Direct secure messaging: tharris4050651@adventhealth.direct-ci.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1326724964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7607 BLACK WILLOW LN",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760024627",
            "telephone_number": "214-402-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N MILLER RD STE 100",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639106",
            "telephone_number": "682-341-7330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2302 Lone Star Rd Ste 260",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760638754",
            "country_code": "US",
            "telephone_number": "682-341-7330",
            "fax_number": "682-341-7332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TATIANNA",
        "middle_name": "ELAINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1127167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.