Individual provider Active NPI

Cara L Harris, FNP-C

  • Family Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1407280183
Registry record updated Jun 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R842816 Issued in MS
Practice address
589 Garfield St
Suite 201
Tupelo, MS 38801-6301
Phone
(662) 680-5565
Fax
(662) 680-5654
NPI assigned
Aug 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2017

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 R842816 MS Primary

Addresses

Primary practice location

589 Garfield St
Suite 201
Tupelo, MS 38801-6301

Mailing address

PO Box 308
Queen Creek, AZ 85142-1806
Phone (480) 718-5400

Other identifiers 1

IdentifierTypeStateIssuer
03670541MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20170718000876 AZ Practitioner - Nurse Practitioner 5395068472 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Good Health Medical PLLCGroup PAC ID 3779680962, 215 clinicians

Practice addresses (Care Compare)

428 S Gilbert Rd
Suite 101
Gilbert, AZ 85296-2261
Phone (480) 677-8282

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Healthcare Mobile Solutions, LLC Nurse Practitioner CurrentSince Jul 1, 2017 Accepting new patients
Good Health Medical, PLLC Current Accepting new patients
Good Health Medical, PLLC CurrentSince Jul 1, 2019 Accepting new patients
Good Health Medical, PLLC CurrentSince Jul 1, 2019 Accepting new patients
Total Medical Care, LLC CurrentSince Nov 24, 2024 Accepting new patients
Total Medical Care, LLC CurrentSince Feb 21, 2018 Accepting new patients
Good Health Medical, PLLC Past Accepting new patients
DHS Anesthesia, LLC Past Accepting new patients

Locations

3100 N Alma School Rd
Chandler, AZ 85224
Phone (480) 255-5983

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

5048 W Northern Ave
Ste 106
Glendale, AZ 85301
Phone (623) 435-0190

1982 W Main St
Ste 101
Mesa, AZ 85201
Phone (480) 295-4880

1035 N Ellsworth Rd
Ste 108
Mesa, AZ 85207
Phone (480) 305-2888

2632 S 83rd Ave
Ste 113
Phoenix, AZ 85043

4707 E Bell Rd
Ste C3
Phoenix, AZ 85032

2640 W Baseline Rd
Ste 111
Phoenix, AZ 85041
Phone 4803052888 ext. 1109

401 E Bell Rd
Ste 18
Phoenix, AZ 85022
Phone (602) 368-1403

6135 N 35th Ave
Ste 117
Phoenix, AZ 85017

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

1840 E Baseline Rd
Ste A1
Tempe, AZ 85283
Phone (480) 718-5400

Interoperability endpoints

  • Direct secure messaging: charris18911@mydrnow.gardenplot.direct-ci.com
  • FHIR API: https://epicproxy.et4001.epichosted.com/APIProxyPRD/MDN/api/FHIR/R4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498089600000",
    "number": "1407280183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851421806",
            "telephone_number": "480-718-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 GARFIELD ST",
            "address_2": "SUITE 201",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016301",
            "telephone_number": "662-680-5565",
            "fax_number": "662-680-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CARA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-29",
        "last_updated": "2017-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R842816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03670541",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.