Individual provider Active NPI

Janelle Elizabeth Harris, FNP

  • Family Nurse Practitioner
  • Liberty, MO
National Provider Identifier
1417395526
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2011034278 Issued in MO
Practice address
1901 W Kansas St
Liberty, MO 64068-2060
Phone
(866) 389-2727
NPI assigned
Jun 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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 2011034278 MO Primary

Addresses

Primary practice location

1901 W Kansas St
Liberty, MO 64068-2060

Mailing address

112 Riverside Dr
Trenton, MO 64683-2404
Phone (573) 356-5140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20130813000615 MO Practitioner - Nurse Practitioner 4981846482 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Rush Medical College of Rush University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Luke'S Hospital of TrentonGroup PAC ID 3971495532, 14 clinicians

Practice addresses (Care Compare)

189 Iowa Blvd
Trenton, MO 64683-8343
Phone (660) 358-5750

191 Iowa Blvd
Trenton, MO 64683-8343
Phone (660) 358-5750

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke'S Hospital of Trenton Family CurrentSince Nov 3, 2014 Accepting new patients
Saint Luke'S Hospital of Trenton CurrentSince Jul 1, 2025 Accepting new patients
Saint Luke'S Hospital of Trenton CurrentSince Nov 3, 2014 Accepting new patients

Locations

400 N Fullerton St
Princeton, MO 64673
Phone (660) 748-4040

191 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5700

189 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5750

Interoperability endpoints

  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4
  • Direct secure messaging: jharris117608@direct.saint-lukes.org

Organizations & group practices 3

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.

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": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1417395526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 RIVERSIDE DR",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646832404",
            "telephone_number": "573-356-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W KANSAS ST",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640682060",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JANELLE",
        "middle_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-11",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2011034278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

Verify at the official NPI Registry.