Individual provider Active NPI

Lisa Holiday Harmon, FNP

  • Family Nurse Practitioner
  • Humble, TX
National Provider Identifier
1376902023
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130367 Issued in TX
Practice address
17007 Dawn Shadows Dr
Humble, TX 77346-4547
Phone
(832) 643-9116
NPI assigned
Feb 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP130367 TX Primary

Addresses

Primary practice location

17007 Dawn Shadows Dr
Humble, TX 77346-4547

Mailing address

16300 Kuykendahl Rd Ste 410
Houston, TX 77068-2751
Phone (832) 666-7974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180430002050 TX Practitioner - Nurse Practitioner 3173885407 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16300 Kuykendahl Rd
Suite 410
Houston, TX 77068-2751
Phone (832) 286-4459

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Holiday'S Family Medical Clinic Family CurrentSince Nov 21, 2017 Accepting new patients
Neighborhood Empowerment and Transformation Inc PastSince Feb 5, 2018 Accepting new patients

Locations

16300 Kuykendahl Rd
Ste 410
Houston, TX 77068
Phone (832) 286-4459

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1376902023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16300 KUYKENDAHL RD STE 410",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770682751",
            "telephone_number": "832-666-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17007 DAWN SHADOWS DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773464547",
            "telephone_number": "832-643-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "LISA",
        "middle_name": "HOLIDAY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.