Gina Marie Harrison, CRNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP021761 Issued in PA

Practice address

360 White Deer Run Rd
Allenwood, PA 17810-9268

Phone

(570) 428-9537

NPI assigned

Apr 27, 2020

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

• Gina Marie Lucas Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Choudhry B.M. and Associates, LLC

  • Geriatric Psychiatry Physician
  • Pottsville, PA
  • NPI 1770594582
  NPD

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1447870878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1388",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187040379",
            "telephone_number": "570-288-8881",
            "fax_number": "570-288-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 WHITE DEER RUN RD",
            "city": "ALLENWOOD",
            "state": "PA",
            "postal_code": "178109268",
            "telephone_number": "570-428-9537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Center Ave",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "PA",
            "postal_code": "186512234",
            "country_code": "US",
            "telephone_number": "570-855-2664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 S Jackson St",
            "address_purpose": "LOCATION",
            "city": "Pottsville",
            "state": "PA",
            "postal_code": "179013625",
            "country_code": "US",
            "telephone_number": "570-621-5500",
            "fax_number": "570-621-5077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 E Norwegian St",
            "address_purpose": "LOCATION",
            "city": "Pottsville",
            "state": "PA",
            "postal_code": "179012710",
            "country_code": "US",
            "telephone_number": "570-621-4724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "CRNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP021761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "LUCAS",
            "middle_name": "MARIE",
            "credential": "MAIDEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shadi Duchesne, M.D.
• FCC Allenwood
• Federal Correctional Complex
• Violette Geza Ganoe, PHARMD
• Drew A. Hampton, CRNA
• Darcie Anne Hostetler, CRFNP
• David A Lightman, MD
• Zell Y Moyer, CRNA
• Shannon Frances Murphy, PHD
• National Retina Institute

• Psychiatric/Mental Health Nurse Practitioner in Allenwood, PA
• Providers in Allenwood, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.