Active NPI
Carol Lynn Harriss, RN
- Case Management Registered Nurse
- Memphis, TN
National Provider Identifier
1396996047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 035080
- Practice address
- 2620Thousand Oaks Blvd
Suite 2400
Memphis, TN 38118 - Phone
- (901) 566-3310
- NPI assigned
- Sep 30, 2008
- Last updated
- Sep 30, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 035080 | TN | Primary |
| Occupational Health Registered Nurse | 163WX0106X | 035080 | TN |
Addresses
Primary practice location
2620Thousand Oaks Blvd
Suite 2400
Memphis, TN 38118
Mailing address
7234 Devine St
Bartlett, TN 38133-3933
Phone (901) 949-8649
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035080 | TN | MD | Occupational Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222732800000",
"number": "1396996047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7234 DEVINE ST",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381333933",
"telephone_number": "901-949-8649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620THOUSAND OAKS BLVD",
"address_2": "SUITE 2400",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38118",
"telephone_number": "901-566-3310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISS",
"first_name": "CAROL",
"middle_name": "LYNN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-30",
"last_updated": "2008-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "TN",
"license": "035080",
"primary": true
},
{
"code": "163WX0106X",
"taxonomy_group": "",
"desc": "Registered Nurse, Occupational Health",
"state": "TN",
"license": "035080",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.