Active NPI
Dawn Sautters Harrison, FNP
- Family Nurse Practitioner
- Supply, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201372
- 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, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 201372 | NC | MD | Family Nurse Practitioner |
| 39999 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cloud Health Medical Group, P.a. | Past | Accepting new patients | |
| Neighborhood Medical Centers, Inc | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Wake Forest, NC
- NPI 1760417075
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
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.