Active NPI
Edie Diane Harrison, MSW
- Social Worker
- Kansas City, KS
National Provider Identifier
1336665231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10567
- Practice address
- 1301 N 47TH St
Kansas City, KS 66102-1705 - Phone
- (913) 288-4252
- NPI assigned
- Aug 22, 2017
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 10567 | KS | Primary |
Addresses
Primary practice location
1301 N 47TH St
Kansas City, KS 66102-1705
Mailing address
1301 N 47TH St
Kansas City, KS 66102-1705
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100098080A | Medicaid | KS | |
| 100098080C | Other | KS | SED WAIVER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10567 | KS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503360000000",
"number": "1336665231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 N 47TH ST",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661021705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 N 47TH ST",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661021705",
"telephone_number": "913-288-4252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "EDIE",
"middle_name": "DIANE",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-22",
"last_updated": "2017-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "10567",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100098080A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SED WAIVER",
"identifier": "100098080C",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.