Individual provider Active NPI

Jan-Michelle Edens Harnish, CFM

  • Mastectomy Fitter
  • Lumberton, NC
National Provider Identifier
1336733674
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mastectomy FitterTaxonomy code 224900000X
License
CFM03434
Practice address
2407 N Elm St
Lumberton, NC 28358-3658
Phone
(910) 618-1935
Fax
(910) 618-9920
NPI assigned
Feb 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mastectomy Fitter 224900000X CFM03434 Primary

Addresses

Primary practice location

2407 N Elm St
Lumberton, NC 28358-3658

Mailing address

PO Box 87067
Fayetteville, NC 28304-7067
Phone (910) 323-9016

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

Practice roles

OrganizationSpecialtyStatusNew patients
Total Rehab Orthotics & Prosthetics Inc PastSince Mar 4, 2021 Accepting new patients
Total Rehab Orthotics & Prosthetics Inc PastSince Mar 4, 2021 Accepting new patients

Organizations & group practices 2

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": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1336733674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87067",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283047067",
            "telephone_number": "910-323-9016",
            "fax_number": "910-486-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 N ELM ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583658",
            "telephone_number": "910-618-1935",
            "fax_number": "910-618-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARNISH",
        "first_name": "JAN-MICHELLE",
        "middle_name": "EDENS",
        "credential": "CFM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": null,
            "license": "CFM03434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.