Carly Dionne Harris

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

205345 Issued in LA

Practice address

80 Arkay Drive
Hauppauge, NY 11788

Phone

(833) 242-1454

NPI assigned

Aug 12, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Upward Health Aco Reach LLC

  • General Practice Physician
  • Hauppauge, NY
  • NPI 1881328722
  NPD

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1376429993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43104 POINTSIDE AVE",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707696497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 ARKAY DRIVE",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "11788",
            "telephone_number": "833-242-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CARLY",
        "middle_name": "DIONNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "205345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Odette R. Hall, M.D.
• Shenelle Hall
• Zeenat Hameed, OTR/L
• Hands of Hope Mental Healthcare
• Shannon Harden
• Kimberly Ann Hart, LMSW
• Michelle Elizabeth Hartmann, LMSW
• Ashlyn Harvey, LIMITED PERMIT
• Hauppauge Acupuncture Wellness PC
• Hauppauge Dialysis Center, LLC

• Registered Nurse in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.