Individual provider Active NPI

Mary Parker Harris, APRN-CNP

  • Registered Nurse
  • Loranger, LA
National Provider Identifier
1437868585
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
916121 Issued in MS
Practice address
54002 La-1062
Loranger, LA 70446
Phone
(985) 606-2273
NPI assigned
Nov 17, 2022
Last updated
Feb 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 239215 LA
Registered Nurse 163W00000X 916121 MS Primary

Addresses

Primary practice location

54002 La-1062
Loranger, LA 70446

Mailing address

21305 Lake Pontchartrain Dr
Ponchatoula, LA 70454-4555
Phone (601) 757-4229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20250516002338 LA Practitioner - Nurse Practitioner 6709304355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Healthcare of Loranger LLCGroup PAC ID 9133436967, 5 clinicians

Practice addresses (Care Compare)

54002 Hwy 1062
Loranger, LA 70446-3538
Phone (985) 606-2273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
916121MSMDRegistered Nurse
239215LAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare of Loranger, LLC CurrentSince Mar 25, 2025 Accepting new patients

Locations

54002 Highway 1062
Loranger, LA 70446
Phone (985) 606-2273

54002 Highway 1062
Ste B
Loranger, LA 70446
Phone (985) 606-2273

Interoperability endpoints

  • Direct secure messaging: mary.harris.1@11757.direct.athenahealth.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1437868585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21305 LAKE PONTCHARTRAIN DR",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704544555",
            "telephone_number": "601-757-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54002 LA-1062",
            "city": "LORANGER",
            "state": "LA",
            "postal_code": "70446",
            "telephone_number": "985-606-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MARY",
        "middle_name": "PARKER",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "LA",
            "license": "239215",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "916121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loranger, LA

Sources for this page

Verify at the official NPI Registry.