Individual provider Active NPI

Joanne Marie Harris

  • Psychiatric/Mental Health Nurse Practitioner
  • Woodbury, NJ
National Provider Identifier
1407325624
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00866200 Issued in NJ
Practice address
45 Euclid St Ste 202
Woodbury, NJ 08096-4631
Phone
(856) 628-4504
NPI assigned
Nov 16, 2018
Last updated
Mar 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00866200 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00866200 NJ Primary

Addresses

Primary practice location

45 Euclid St Ste 202
Woodbury, NJ 08096-4631

Mailing address

PO Box 748465
Atlanta, GA 30374-8465
Phone (855) 284-7483

Other practice location 1

212 Marter Ave
Moorestown, NJ 08057-3114
Phone (856) 291-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20190109003225 NJ Practitioner - Nurse Practitioner 0941546097 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

443 Laurel Oak Rd
Voorhees, NJ 08043-4419
Phone (844) 542-2273

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00866200NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HCR Manorcare Medical Services of Florida LLC CurrentSince Sep 21, 2021 Accepting new patients
Kennedy Medical Group P.C. CurrentSince Aug 1, 2024 Accepting new patients
Kennedy Medical Group Practice, P.C. Current Accepting new patients
Kennedy Medical Group Practice PC CurrentSince Aug 1, 2024 Accepting new patients
Lifebulb LLC PastSince Oct 16, 2022 Accepting new patients

Locations

1412 Marlton Pike E
Cherry Hill, NJ 08034
Phone (856) 428-1600

457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091

212 Marter Ave
Moorestown, NJ 08057
Phone (856) 234-4749

151 Fries Mill Rd
Ste 301
Turnersville, NJ 08012
Phone (856) 374-1881

443 Laurel Oak Rd
Voorhees, NJ 08043
Phone (215) 456-4985

L2540
Columbus, OH 43260

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1407325624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748465",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748465",
            "telephone_number": "855-284-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 EUCLID ST STE 202",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080964631",
            "telephone_number": "856-628-4504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 Marter Ave",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080573114",
            "country_code": "US",
            "telephone_number": "856-291-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JOANNE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-16",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00866200",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00866200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

Verify at the official NPI Registry.