Organization Active NPI

Regenesis Modern Health PLLC

  • Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1396318663
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
REGENESIS MODERN HEALTH PLLC
Practice address
5955 Alpha Rd # 1089
Dallas, TX 75240-1121
Phone
(972) 200-7022
NPI assigned
Jul 23, 2021
Last updated
Aug 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Authorized official

Name
Alison Harris, NP
Title
Owner
Phone
(972) 782-4768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

5955 Alpha Rd # 1089
Dallas, TX 75240-1121

Mailing address

5955 Alpha Rd # 1089
Dallas, TX 75240-1121
Phone (972) 200-7022

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address AlisonHarris@alisonharris.kareodirect.com Direct

National Provider Directory

National Provider Directory

Locations

5955 Alpha Rd
#1089
Dallas, TX 75240
Phone (972) 200-7022

5955 Alpha Rd
Ste 1089
Dallas, TX 75240

Interoperability endpoints

  • Direct secure messaging: alisonharris@alisonharris.kareodirect.com

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1396318663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 ALPHA RD # 1089",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401121",
            "telephone_number": "972-200-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 ALPHA RD # 1089",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401121",
            "telephone_number": "972-200-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENESIS MODERN HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-782-4768",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AlisonHarris@alisonharris.kareodirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5955 Alpha Rd # 1089",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752401121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.