Active NPI
Brenda Harris, MSOM, LAC
- Acupuncturist
- Decorah, IA
National Provider Identifier
1467589317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 0083
- Practice address
- 309 West Broadway Street
Decorah, IA 52101 - Phone
- (563) 382-9309
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 0083 | OR | Primary |
Addresses
Primary practice location
309 West Broadway Street
Decorah, IA 52101
Mailing address
309 West Broadway Street
Decorah, IA 52101
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0083 | OR | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435708800000",
"number": "1467589317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 WEST BROADWAY STREET",
"city": "DECORAH",
"state": "IA",
"postal_code": "52101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 WEST BROADWAY STREET",
"city": "DECORAH",
"state": "IA",
"postal_code": "52101",
"telephone_number": "563-382-9309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "BRENDA",
"credential": "MSOM, LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2015-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "0083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decorah, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.