Patricia Ann Harrison, MS, CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA1362 Issued in FL

Practice address

3733 University Blvd W Ste 207
Jacksonville, FL 32217-2103

Phone

(904) 386-4990

Fax

(904) 260-0435

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252368000000",
    "number": "1356369334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2594 SPREADING OAKS LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322236501",
            "telephone_number": "904-386-4990",
            "fax_number": "904-260-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3733 UNIVERSITY BLVD W STE 207",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172103",
            "telephone_number": "904-386-4990",
            "fax_number": "904-260-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2009-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA1362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "882342101",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hilda Harrison, M.S. OTR/L
• Judith Ann Harrison, MD
• Judy Baker Harrison, M.D.
• Lindsey K Harrison, PA-C
• Michael Frederick Harrison, MD PHD MPH
• Robert Michael Harrison, MS,ATC,LAT,LMT,PES
• Stevi Marie Harrison, PA-C
• Brianna L Harrod, APRN
• Ashley Renee Harrold, LMHC
• Harry Borcherding Arnp PA

• Speech-Language Pathologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.