Sopouria Keyshun Harris

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5213118 Issued in FL

Practice address

4500 Autumn Woods Way
Tallahassee, FL 32303-6935

Phone

(850) 491-8969

NPI assigned

Aug 18, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1346766532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 AUTUMN WOODS WAY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036935",
            "telephone_number": "850-491-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 AUTUMN WOODS WAY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036935",
            "telephone_number": "850-491-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SOPOURIA",
        "middle_name": "KEYSHUN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5213118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Melissa Harris, OTR
• Martha Harris
• Patrick Michael Harris
• Roderick Mashun Harris, MSW
• Shekedra Nicole Harris, APRN
• Tamika Lashae Harris, CNA
• Tammi Harris, PHARMD
• Tremain Bernardo Harris, PHARMD, RPH
• Victoria Shaunterria Harris
• Willie Harris

• Licensed Practical Nurse in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.