Active NPI
Antwane Harris, RN
- Adult Psychiatric/Mental Health Registered Nurse
- Birmingham, AL
National Provider Identifier
1477212355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 1-134407
- Practice address
- 908 20TH St S
Birmingham, AL 35205-2610 - Phone
- (205) 480-1889
- NPI assigned
- Dec 8, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 1-134407 | AL | Primary |
Addresses
Primary practice location
908 20TH St S
Birmingham, AL 35205-2610
Mailing address
908 20TH St S
Birmingham, AL 35205-2610
Phone (205) 480-1889
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-134407 | AL | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638921600000",
"number": "1477212355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 20TH ST S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352052610",
"telephone_number": "205-480-1889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 20TH ST S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352052610",
"telephone_number": "205-480-1889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "ANTWANE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-08",
"last_updated": "2021-12-08",
"certification_date": "2021-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "AL",
"license": "1-134407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.