Traci Harris, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

209004400 Issued in IL

Practice address

1325 Remington Rd Ste a
Schaumburg, IL 60173-4815

Phone

(773) 572-8399

NPI assigned

Dec 17, 2007

Last updated

Jan 30, 2019By 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 4

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, MO2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Clear Practice PLLCGroup PAC ID 4880137850, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Luxe Home Health Home health agency, Des Plaines, IL, CCN 148317
• Residential Home Health Home health agency, Lisle, IL, CCN 147568
• Osf Little Company of Mary Medical Center Hospital, Evergreen Park, IL, CCN 140179

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ms_tharr255@landmarkhealth-direct.org
• Direct secure messaging: traci.harris@768220391342084.direct.elationemr.com

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.

• Clear Practice PLLC

  • Clinic/Center
  • Creve Coeur, MO
  • NPI 1386498319

  IL

  Medicare reassignment Care Compare group NPD
• Paragon Clinical LLC

  • Nurse Practitioner
  • Burr Ridge, IL
  • NPI 1114139946

  Adult Health

  Medicare reassignment NPD
• Vpa PC

  dba HarmonyCares Medical Group

  • Family Medicine Physician
  • Oakbrook Terrace, IL
  • NPI 1174925663
  Medicare reassignment NPD
• Vpa PC

  dba HarmonyCares Medical Group

  • Family Medicine Physician
  • Burr Ridge, IL
  • NPI 1912521071
  NPD
• Vpa PC

  dba HarmonyCares Medical Group

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1578363362
  NPD
• Center for Family Health

  • Family Medicine Physician
  • Sycamore, IL
  • NPI 1578793816
  NPD (past)
• Community Cares Clinic

  • Community Health Clinic/Center
  • Dekalb, IL
  • NPI 1629384607
  NPD (past)
• Paragon Clinical Midwest, LLC

  • Nurse Practitioner
  • Merrillville, IN
  • NPI 1619335700
  NPD (past)

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

• Osf Healthcare System

  dba OSF Little Company of Mary Medical Center

  • General Acute Care Hospital
  • Evergreen Park, IL
  • NPI 1215572045
  Care Compare affiliation
• Residential Home Health Illinois, LLC

  dba Residential Home Health

  • Home Health Agency
  • Lisle, IL
  • NPI 1336377365
  Care Compare affiliation
• Whole Life Home Health LLC

  dba Whole Life Home Health, Inc

  • Home Health Agency
  • Des Plaines, IL
  • NPI 1417189838
  Care Compare affiliation

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1336322007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S MADISON ST",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605439056",
            "telephone_number": "630-631-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 REMINGTON RD STE A",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734815",
            "telephone_number": "773-572-8399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21193 Malta Rd",
            "address_purpose": "LOCATION",
            "city": "Malta",
            "state": "IL",
            "postal_code": "601509600",
            "country_code": "US",
            "telephone_number": "815-754-1089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Sycamore Rd",
            "address_2": "Suite 1024",
            "address_purpose": "LOCATION",
            "city": "Dekalb",
            "state": "IL",
            "postal_code": "601159621",
            "country_code": "US",
            "telephone_number": "815-752-3253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TRACI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-17",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "20900440",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209004400",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209004400",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "198169",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harley Harman, RBT
• Mikayla Nicole Harper, DPT
• Jennifer Harris, RBT
• Kelly Jo Harris
• Kenneth Paul Harris, RESPIRATORY THERAPIS
• Harry J. Kiriluk DDS LTD
• Harvest Plaza Dental PLLC (One Good Smile)
• Sobia Hasan
• Albert Steven Hasson, MD
• Marisa Hatakeyama

• Adult Health Nurse Practitioner in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Adult Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.