Mick Emerson Harris, LAT, ATC, NREMT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2643 Issued in AL

Practice address

188 S Donahue Drive
121 Nichols Center
Auburn, AL 36849-5513

Phone

(316) 650-2360

NPI assigned

Nov 3, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

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": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1346841749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E MAGNOLIA AVE APT 119",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368304831",
            "telephone_number": "316-650-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 S DONAHUE DRIVE",
            "address_2": "121 NICHOLS CENTER",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368495513",
            "telephone_number": "316-650-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MICK",
        "middle_name": "EMERSON",
        "name_prefix": "Mr.",
        "credential": "LAT, ATC, NREMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-03",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": null,
            "license": "0155-0083-2810",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AL",
            "license": "2643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL REGISTRY OF EMERGENCY MEDICAL TECHNICIANS",
            "identifier": "0155-0083-2810",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINING BOARD OF CERTIFICATION",
            "identifier": "2000051386",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BOARD OF ATHLETIC TRAINING",
            "identifier": "2643",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dorothea Brady Harris, CRNP
• Emma Grace Harris, M.ED, NCC, ALC
• Kenneth L. Harris, M.D.
• Leann G Harris, RPH
• Loren Grace Harris, DPT
• Monica Williams Harris, M.ED, LPC
• Natalie Alyse Harris, DMD, MBA
• Quianna Rashida Harris
• Robert Casey Harris III, D.P.T.
• Hartley Nichols Eye Care, LLC

• Athletic Trainer in Auburn, AL
• Providers in Auburn, AL by specialty
• Athletic Trainer in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.