Active NPI
Marcia L Harris
- Specialist
- Saint Louis, MO
National Provider Identifier
1386978393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 5229
- Practice address
- 1 Jefferson Barracks Drive
Saint Louis Veterans Affairs Medical Center
Saint Louis, MO 63125 - Phone
- (314) 862-4100
- Fax
- (314) 289-6581
- NPI assigned
- Sep 23, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 5229 | GA | Primary |
Addresses
Primary practice location
1 Jefferson Barracks Drive
Saint Louis Veterans Affairs Medical Center
Saint Louis, MO 63125
Mailing address
1 Jefferson Barracks Drive
Saint Louis Veterans Affairs Medical Center
Saint Louis, MO 63125
Phone (314) 862-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5229 | Other | VISION REHABILITATION THERAPY CERTIFICATE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5229 | GA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253664000000",
"number": "1386978393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 JEFFERSON BARRACKS DRIVE",
"address_2": "SAINT LOUIS VETERANS AFFAIRS MEDICAL CENTER",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63125",
"telephone_number": "314-862-4100",
"fax_number": "314-289-6581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 JEFFERSON BARRACKS DRIVE",
"address_2": "SAINT LOUIS VETERANS AFFAIRS MEDICAL CENTER",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63125",
"telephone_number": "314-862-4100",
"fax_number": "314-289-6581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "MARCIA",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-23",
"last_updated": "2009-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "5229",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISION REHABILITATION THERAPY CERTIFICATE",
"identifier": "5229",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.