Active NPI
Kaylee Blyss Harrison
- Dental Hygienist
- Memphis, TN
National Provider Identifier
1407520257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 8553
- Practice address
- 2953 Broad Ave
Memphis, TN 38112-2957 - Phone
- (901) 842-3171
- NPI assigned
- Aug 5, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 8553 | TN | Primary |
Addresses
Primary practice location
2953 Broad Ave
Memphis, TN 38112-2957
Mailing address
3189 Magnolia Ridge Dr
Hernando, MS 38632-2496
Phone (901) 562-9835
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8553 | TN | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628121600000",
"number": "1407520257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3189 MAGNOLIA RIDGE DR",
"city": "HERNANDO",
"state": "MS",
"postal_code": "386322496",
"telephone_number": "901-562-9835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2953 BROAD AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381122957",
"telephone_number": "901-842-3171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "KAYLEE",
"middle_name": "BLYSS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-05",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "TN",
"license": "8553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
- Vonda Kay Harris, OTA
- Yolanda Harris, M.D
- Harrison Rehab & Wellness Healthcare Agency, LLC (Dawn of Life Healthcare Services)
- Ashley Verk Harrison, FNP
- Hunter Reed Harrison, MD
- KC Harrison, BSN, RN, MS, CSP-S
- Rachel E. Harrison, MD
- Tamera Chanae Harrison, MS,PT
- Yancey Patricia Harrison, DO
- Carol Lynn Harriss, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.