Mary Jane P Harris, RN, BSN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN-2574 Issued in HI

Practice address

98-1238 Kaahumanu St # 403
Pearl City, HI 96782

Phone

(703) 650-5163

NPI assigned

Jan 4, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1457824252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1238 KAAHUMANU ST # 403",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823291",
            "telephone_number": "703-650-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1238 KAAHUMANU ST # 403",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "96782",
            "telephone_number": "703-650-5163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 Kamaaha Ave Apt 11",
            "address_purpose": "LOCATION",
            "city": "Kapolei",
            "state": "HI",
            "postal_code": "967074615",
            "country_code": "US",
            "telephone_number": "808-232-9217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "460 Kamaaha Ave Apt 11",
            "address_purpose": "LOCATION",
            "city": "Kapolei",
            "state": "HI",
            "postal_code": "967074615",
            "country_code": "US",
            "telephone_number": "808-232-9217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MARY JANE",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-2574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khunalai Hanamoto, MAT
• Sienna Louise Handegard, MS, ATC
• Kalena Handley
• Aaron Harada, D.M.D.
• Charles Thomas Harding, PSY.D.
• Hawaii Center for Sleep Medicine LTD
• Hawaii Child and Family Therapy
• Hawaii Community Counseling Services
• Hawaii Hospital Dentistry Services
• Hawaii Patient Transports Inc.

• Family Nurse Practitioner in Pearl City, HI
• Providers in Pearl City, HI by specialty
• Family Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.