Kayshaun Harris

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

10574 Lake Hollow LN
Jacksonville, FL 32257-3788

Phone

(904) 866-9063

Fax

(904) 866-9063

NPI assigned

Sep 17, 2021

Last updated

Sep 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Harris in Home Supportive Care

  • Homemaker
  • Jacksonville, FL
  • NPI 1760134183

  Chore Provider

  NPD Authorized official

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1356011696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10574 LAKE HOLLOW LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322573788",
            "telephone_number": "904-866-9063",
            "fax_number": "904-866-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10574 LAKE HOLLOW LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322573788",
            "telephone_number": "904-866-9063",
            "fax_number": "904-866-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KAYSHAUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kayshaun@harrisinhomesupportivecare.com",
            "affiliation": "N",
            "address_1": "10574 Lake Hollow Ln",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322573788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kayshaun@harrisinhomesupportivecare.com",
            "affiliation": "N",
            "address_1": "10574 Lake Hollow Ln",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322573788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jermaine L Harris
• Jessica Katherine Harris
• John G. Harris Jr., DPM
• John Lazarus Harris Jr., MSPT
• Kay L Harris, M.A.
• Kimberly S Harris
• Koryn Noelle Harris, APRN
• Lashay Antionette Harris, ARNP
• Laura Lee Harris, LMT
• Le'Shea Nycolle Harris

• Personal Care Attendant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Personal Care Attendant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.