Individual provider Active NPI

Gyda Andrea Harris

  • Specialist
  • Snohomish, WA
National Provider Identifier
1457556870
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
1301 30TH St
1301 30TH St.
Snohomish, WA 98290-1001
Phone
(425) 501-8662
NPI assigned
Jun 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

1301 30TH St
1301 30TH St.
Snohomish, WA 98290-1001

Mailing address

1301 30TH St
1301 30TH St.
Snohomish, WA 98290-1001
Phone (425) 501-8662

Other names 1

  • Gyda Andrea Harris Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1181952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457556870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 30TH ST",
            "address_2": "1301 30TH ST.",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982901001",
            "telephone_number": "425-501-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 30TH ST",
            "address_2": "1301 30TH ST.",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982901001",
            "telephone_number": "425-501-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "GYDA",
        "middle_name": "ANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GYDA",
            "last_name": "HARRIS",
            "middle_name": "ANDREA",
            "credential": "LMP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Snohomish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.