Individual provider Active NPI

Natalie Wade Harn-Reid, O.D.

  • Optometrist
  • Concord, NC
National Provider Identifier
1457589798
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1310 Issued in NC
Practice address
1480 Concord Parkway
Carolina Mall #301
Concord, NC 28025
Phone
(704) 721-5530
Fax
(704) 786-0310
NPI assigned
Jun 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1310 NC Primary

Addresses

Primary practice location

1480 Concord Parkway
Carolina Mall #301
Concord, NC 28025

Mailing address

18628 Town Harbour Road
Cornelius, NC 28031
Phone (704) 987-1146

Other names 1

  • Dr. Natalie Wade Harn Former 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

State licenses

LicenseStateTypeSpecialty
1310NCMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245888000000",
    "number": "1457589798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18628 TOWN HARBOUR ROAD",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "28031",
            "telephone_number": "704-987-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 CONCORD PARKWAY",
            "address_2": "CAROLINA MALL #301",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "28025",
            "telephone_number": "704-721-5530",
            "fax_number": "704-786-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARN-REID",
        "first_name": "NATALIE",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "HARN",
            "middle_name": "WADE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.