Kimberly Ann Harris, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN00116133 Issued in WA

Practice address

12425 Race Track Road
Tampa, FL 33626

Phone

(800) 659-1522

NPI assigned

Dec 7, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kim Harris Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1437452869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9712 13TH AVE CRT S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98444",
            "telephone_number": "253-531-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12425 RACE TRACK ROAD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33626",
            "telephone_number": "800-659-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00116133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "HARRIS",
            "prefix": "MS.",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John Douglas Harris, PA-C
• Karen F. Harris, M.D.
• Kelsey Harris, AU.D.
• Kenneth Harris, A.P.,D.O.M.
• Kieyatta Harris
• Lashanor Virginia Harris
• Lemuel Harris
• Lilly Alice Harris, LCSW
• Lydie Harris
• Marquis Harris, RBT

• Registered Nurse in Tampa, FL
• Providers in Tampa, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.