Andrea Sue Harmon, PHD, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1136 Issued in CT

Practice address

76 West Walk
West Haven, CT 06516-5902

Phone

(318) 792-8831

NPI assigned

Jan 7, 2022

Sex

Female

Sole proprietor

No

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

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1407517816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 WEST WALK",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065165902",
            "telephone_number": "318-792-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 WEST WALK",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065165902",
            "telephone_number": "318-792-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "ANDREA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "PHD, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": "1136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Hanniford, LCSW
• Margaret M Hansley, RN, WHNP
• Ahmed Haque, M.D.
• Harbor View Manor, Inc.
• Harbor View Manor, Inc.
• Ilan Harpaz-Rotem, PH.D.
• Faith L Harrington, FNP-C
• Natasha Harris, NP CNS
• Hars Medical Professional LLC
• Helen Crystal Hart-Gai, RN, APRN

• Athletic Trainer in West Haven, CT
• Providers in West Haven, CT by specialty
• Athletic Trainer in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.