Individual provider Active NPI

Andrea Harris

  • Case Manager/Care Coordinator
  • Chester, PA
National Provider Identifier
1457547572
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
2600 W 9TH St
Chester, PA 19013-2040
Phone
(610) 497-7630
Fax
(610) 497-7588
NPI assigned
Sep 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

2600 W 9TH St
Chester, PA 19013-2040

Mailing address

2600 W 9TH St
Chester, PA 19013-2040
Phone (610) 497-7630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200528000169 DE Practitioner - Clinical Social Worker 2961823075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christiana Care Health InitiativesGroup PAC ID 2466351481, 33 clinicians

Practice addresses (Care Compare)

501 W 14TH St
1E40 Cchi Project Recovery
Wilmington, DE 19801-1013
Phone (302) 320-2100

Hospital & facility affiliations

  • Christiana Hospital Hospital, Newark, DE, CCN 080001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Initiatives CurrentSince Apr 20, 2020 Accepting new patients
Christiana Care Health Initiatives CurrentSince Apr 20, 2020 Accepting new patients
Christiana Care Health Initiatives Current Accepting new patients

Locations

501 W 14th St
Ste 1E40
Wilmington, DE 19801
Phone (302) 320-2100

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190332800000",
    "number": "1457547572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 W 9TH ST",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190132040",
            "telephone_number": "610-497-7630",
            "fax_number": "610-497-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 W 9TH ST",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190132040",
            "telephone_number": "610-497-7630",
            "fax_number": "610-497-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

Verify at the official NPI Registry.