Individual provider Active NPI

Dawn Sautters Harrison, FNP

  • Family Nurse Practitioner
  • Supply, NC
National Provider Identifier
1346319282
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201372 Issued in NC
Practice address
13 Medical Campus Dr NW Ste 102
Supply, NC 28462-4093
Phone
(910) 754-5988
Fax
(910) 754-5989
NPI assigned
Nov 7, 2006
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 39999 NC
Family Nurse Practitioner 363LF0000X APRN11018011 FL
Family Nurse Practitioner 363LF0000X 201372 NC Primary

Addresses

Primary practice location

13 Medical Campus Dr NW Ste 102
Supply, NC 28462-4093

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

2955 Brownwood Blvd
The Villages, FL 32163-2039
Phone (844) 884-9355

Other practice location 2

1234 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (336) 538-1234 ext. 3530

Other practice location 3

1400 N US Highway 441 Ste 810
The Villages, FL 32159-8987
Phone (844) 884-9355

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201372NCMDFamily Nurse Practitioner
39999NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Neighborhood Medical Centers, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dharrison1149443@direct.novanthealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1346319282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 MEDICAL CAMPUS DR NW STE 102",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624093",
            "telephone_number": "910-754-5988",
            "fax_number": "910-754-5989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2955 Brownwood Blvd",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321632039",
            "country_code": "US",
            "telephone_number": "844-884-9355",
            "fax_number": "352-674-8714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1234 Huffman Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272158700",
            "country_code": "US",
            "telephone_number": "336-538-1234 x3530",
            "fax_number": "336-538-2390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 N US Highway 441 Ste 810",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321598987",
            "country_code": "US",
            "telephone_number": "844-884-9355",
            "fax_number": "352-674-8714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "DAWN",
        "middle_name": "SAUTTERS",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "39999",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11018011",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Supply, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.