Lynn Harris, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

488683 Issued in NY

Practice address

42 Carpenter Ave
Staten Island, NY 10314-4903

Phone

(718) 698-0759

NPI assigned

Aug 19, 2014

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1396144036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 CARPENTER AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144903",
            "telephone_number": "718-698-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 CARPENTER AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144903",
            "telephone_number": "718-698-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NY",
            "license": "488683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Harris
• Holly L Harris, M.A. CCC-SLP
• Jessica Alishia Harris
• Karen Harris
• Lisa M Harris, MHC-LP
• Margot Harris, LCSW
• Melissa Harris
• Robert Anthony Harris, RN
• Valerie Beth Harris, DT, DPT, OCS
• Alina J Harrison

• Administrator Registered Nurse in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Administrator Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.