Cindy Joy Harris, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS10805 Issued in FL

Practice address

401 W Interlake Blvd
Lake Placid, FL 33852-0701

Phone

(863) 465-1725

Fax

(863) 465-2595

NPI assigned

Jul 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

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.

• Santa Rosa Hma Physician Management, LLC

  • Family Medicine Physician
  • Milton, FL
  • NPI 1447365366
  Medicare reassignment NPD
• Hope Hospice and Community Services, Inc

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1114225745
  NPD (past)
• Sebring Hospital Management Associates LLC

  • General Acute Care Hospital
  • Sebring, FL
  • NPI 1952344772
  NPD (past)
• El Paso Physician Group PA

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1679524011

  Family Medicine

  NPD (past)
• Privia Medical Group West Texas, PLLC

  • Podiatrist
  • Abilene, TX
  • NPI 1043725062
  NPD (past)
• Privia Medical Group West Texas, PLLC

  • Specialist
  • Abilene, TX
  • NPI 1346242567
  NPD (past)
• Privia Medical Group West Texas, PLLC

  • Pathology Specialist/Technologist
  • Abilene, TX
  • NPI 1760482665
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1427064666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W INTERLAKE BLVD",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338520701",
            "telephone_number": "863-465-1725",
            "fax_number": "863-465-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W INTERLAKE BLVD",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338520701",
            "telephone_number": "863-465-1725",
            "fax_number": "863-465-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CINDY",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2011-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L2304",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS10805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1481A",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001823400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "P00879880",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neville Graham Jr., MA.
• Great Results Homecare LLC
• Ivan Jose Grondona Consuegra, PHARMD
• Anallely Guzman
• Halcyon Rehabilitation, LLC
• Akitta Hawthorne
• Ronisha Hawthorne, OTA
• HC Medical and Cosmetic Products LLC
• Healthnomics LLC
• Heartland Medical Supply Inc

• Family Medicine Physician in Lake Placid, FL
• Providers in Lake Placid, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.