Active NPI
Chelsea Kennedy Harris, CRNA, DNP
- Certified Registered Nurse Anesthetist
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 138479
- Practice address
- 1 Medical Center Blvd
Winston Salem, NC 27157-7505 - Phone
- (888) 716-9253
- NPI assigned
- Mar 12, 2020
- Last updated
- Aug 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 138479 | NC | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Registered Nurse | 163W00000X | 277569 | NC |
Addresses
Primary practice location
1 Medical Center Blvd
Winston Salem, NC 27157-7505
Mailing address
3545 Harmony Hwy
Harmony, NC 28634-9438
Phone (704) 929-1802
Other practice location 1
3345 Harmony Hwy
Harmony, NC 28634
Phone (704) 929-1802
Other practice location 2
4420 Lake Boone Trail
Raleigh, NC 27607-7505
Phone (704) 929-1802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
557 Brookdale Dr
Statesville, NC 28677-4107
Phone (704) 873-5661
Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277569 | NC | MD | Registered Nurse |
| 138479 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Current | Accepting new patients | |
| Iredell Memorial Hospital Incorporated | Current | Accepting new patients | |
| Iredell Memorial Hospital, Incorporated | Current | Accepting new patients | |
| Iredell Physician Network LLC | Current | Accepting new patients | |
| Iredell Physician Network, LLC | Current | Accepting new patients | |
| Iredell Memorial Hospital, Incorporated | Current | Accepting new patients |
Locations
653 Bluefield Rd
Ste D
Mooresville, NC 28117
Phone (704) 360-6470
557 Brookdale Dr
Statesville, NC 28677
Phone (330) 445-4361
766 Hartness Rd
Statesville, NC 28677
Phone (704) 838-2182
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
Organizations & group practices 7
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.
-
dba IMH Professional CRNA
- General Acute Care Hospital
- Statesville, NC
- NPI 1548230204
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
- General Practice Physician
- Statesville, NC
- NPI 1811381593
-
dba Iredell Davis Behavioral Health Hospital
- Psychiatric Hospital
- Statesville, NC
- NPI 1417783705
-
- General Acute Care Hospital
- Statesville, NC
- NPI 1417944224
-
dba Iredell Ear, Nose and Throat
- Otolaryngology Physician
- Statesville, NC
- NPI 1447063920
-
dba Iredell Surgery at Mooresville ASC
- Ambulatory Surgical Clinic/Center
- Mooresville, NC
- NPI 1518549393
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Statesville, NC
- NPI 1417944224
-
- Psychiatric Hospital Unit
- Winston Salem, NC
- NPI 1063480531
-
- Rehabilitation Hospital Unit
- Winston Salem, NC
- NPI 1114995677
-
dba Wake Forest Baptist Medical Center
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1144211301
-
dba Wake Forest Baptist Medical Center
- Clinical Medical Laboratory
- Winston Salem, NC
- NPI 1609162098
Hospital
-
dba Winston East Pediatrics
- Pediatric Adolescent Medicine Physician
- Winston Salem, NC
- NPI 1912179219
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661472000000",
"number": "1356976161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3545 HARMONY HWY",
"city": "HARMONY",
"state": "NC",
"postal_code": "286349438",
"telephone_number": "704-929-1802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271577505",
"telephone_number": "888-716-9253"
}
],
"practiceLocations": [
{
"address_1": "3345 Harmony Hwy",
"address_purpose": "LOCATION",
"city": "Harmony",
"state": "NC",
"postal_code": "28634",
"country_code": "US",
"telephone_number": "704-929-1802",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4420 Lake Boone Trail",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276077505",
"country_code": "US",
"telephone_number": "704-929-1802",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "CHELSEA",
"middle_name": "KENNEDY",
"name_prefix": "Mrs.",
"credential": "CRNA, DNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-12",
"last_updated": "2022-08-26",
"certification_date": "2022-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "138479",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "277569",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.