Organization Active NPI

Patricia a Harrison Inc.

  • Speech-Language Pathologist
  • Jacksonville, FL
National Provider Identifier
1437300456
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA1362 Issued in FL
Legal business name
PATRICIA A HARRISON INC.
Practice address
3733 University Blvd W
Suite 208
Jacksonville, FL 32217-2109
Phone
(904) 386-4990
Fax
(904) 260-0435
NPI assigned
Oct 8, 2008
Last updated
Oct 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
Mrs. Patricia Ann Harrison, MS, CCCNPI 1356369334
Title
President
Phone
(904) 386-4990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA1362 FL Primary

Addresses

Primary practice location

3733 University Blvd W
Suite 208
Jacksonville, FL 32217-2109

Mailing address

2594 Spreading Oaks LN
Jacksonville, FL 32223-6501
Phone (904) 386-4990

Other identifiers 1

IdentifierTypeStateIssuer
88885911600MedicaidFL

National Provider Directory

National Provider Directory

Locations

6015 Chester Cir
Ste 205
Jacksonville, FL 32217
Phone (904) 386-4990

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1437300456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2594 SPREADING OAKS LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322236501",
            "telephone_number": "904-386-4990",
            "fax_number": "904-260-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3733 UNIVERSITY BLVD W",
            "address_2": "SUITE 208",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172109",
            "telephone_number": "904-386-4990",
            "fax_number": "904-260-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA A HARRISON INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-386-4990",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CCC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA1362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88885911600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.