Individual provider Active NPI

Carlitta Theresa Harris

  • Nurse Practitioner
  • SW, DC
National Provider Identifier
1376191072
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024181043 Issued in VA
Practice address
501 School Street Suite
Suite 200
SW, DC 20016
Phone
(703) 752-8700
NPI assigned
Aug 27, 2019
Last updated
Aug 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024181043 VA Primary

Addresses

Primary practice location

501 School Street Suite
Suite 200
SW, DC 20016

Mailing address

1309 Brookside Dr
Oxon Hill, MD 20745-3834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210820001183 DC Practitioner - Nurse Practitioner 0143625699 Reassigns benefits to 1 organization
Practice locations: National Harbor, MD

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newman Medical Group PCGroup PAC ID 3274939350, 7 clinicians

Practice addresses (Care Compare)

9500 Medical Ctr Dr
Suite 105
Largo, MD 20774-3703
Phone (301) 615-4133

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.21 of 100Reported as group
Quality
90
Improvement activities
40
Cost
69.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024181043VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Newman Medical Group PC CurrentSince Feb 6, 2024 Accepting new patients
Fitnp2020 LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785

223 7th St NE
Washington, DC 20002
Phone (202) 543-4800

4601 Martin Luther King Jr Ave SW
Washington, DC 20032
Phone (202) 373-5840

6530 Democracy Blvd
Bethesda, MD 20817
Phone (301) 530-9000

3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939

5805 Queens Chapel Rd
Hyattsville, MD 20782
Phone (301) 277-6500

6500 Riggs Rd
Hyattsville, MD 20783
Phone (301) 434-0500

7300 Van Dusen Rd
Laurel, MD 20707
Phone (301) 725-4300

120 Waterfront St
Ste 420
Oxon Hill, MD 20745
Phone (240) 647-8262

299 Hurley Ave
Rockville, MD 20850
Phone (301) 762-8900

9500 Medical Center Dr
Ste 105
Upper Marlboro, MD 20774
Phone (202) 220-8929

600 Largo Rd
Uppr Marlboro, MD 20774
Phone (301) 350-5555

901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021

2729 King St
Alexandria, VA 22302
Phone (703) 744-0155

Interoperability endpoints

  • Direct secure messaging: charris1093842@direct.umm.edu

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1376191072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 BROOKSIDE DR",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SCHOOL STREET SUITE",
            "address_2": "SUITE 200",
            "city": "SW",
            "state": "DC",
            "postal_code": "20016",
            "telephone_number": "703-752-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CARLITTA",
        "middle_name": "THERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024181043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in SW, DC

Sources for this page

Verify at the official NPI Registry.