Edna Taylor Harris, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-022297 Issued in AL

Practice address

251 N Bayou St
Mobile, AL 36603-5827

Phone

(251) 690-8158

Fax

(251) 690-8853

NPI assigned

Aug 31, 2006

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

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

University of Alabama School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mobile County Board of HealthGroup PAC ID 9931208386, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edna.harris.1@15479.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/15695/brand/1/csg/1/fhir/r4

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

• Mobile County Board of Health

  • Federally Qualified Health Center (FQHC)
  • Mobile, AL
  • NPI 1063439065
  Medicare reassignment Care Compare group NPD
• Kelly Lambeth CRNP LLC

  • Family Medicine Physician
  • Perdido, AL
  • NPI 1164831525
  Medicare reassignment NPD
• PFCC, LLC

  • Family Medicine Physician
  • Spanish Fort, AL
  • NPI 1649960873
  Medicare reassignment NPD
• Mobile County Board of Health

  • Federally Qualified Health Center (FQHC)
  • Mobile, AL
  • NPI 1649523432
  NPD
• Mobile County Board of Health

  • State or Local Public Health Clinic/Center
  • Mobile, AL
  • NPI 1720257199
  NPD
• Ice Healthcare Service PC

  • Specialist
  • Mobile, AL
  • NPI 1538271150
  NPD (past)
• Mobile County Board of Health

  • Federally Qualified Health Center (FQHC)
  • Mount Vernon, AL
  • NPI 1639474778
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417068792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2867",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366522867",
            "telephone_number": "251-690-8158",
            "fax_number": "251-690-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 N BAYOU ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366035827",
            "telephone_number": "251-690-8158",
            "fax_number": "251-690-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "EDNA",
        "middle_name": "TAYLOR",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-022297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Milton Harrell, D.M.D
• Destiny Renee Harrington, PA-S
• Jonah Harrington, MD
• Suporior R Harris-Campbell, DNP
• Charmaine Diane Harris, CRNP
• Grant Gregory Harris, DO
• Jaleesa Harris, NP
• Janice Denise Harris, CRNP
• Jeffery Harris
• Kailyn Janiece Harris

• Family Nurse Practitioner in Mobile, AL
• Providers in Mobile, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.