Active NPI
Stephanie Harris, M.D.
- Pediatrics Physician
- Lakewood, CO
National Provider Identifier
1477550465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35518
- Practice address
- 96 Wadsworth Blvd
Suite 100
Lakewood, CO 80226-1516 - Phone
- (303) 239-8327
- Fax
- (305) 239-9946
- NPI assigned
- Jul 5, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35518 | CO | Primary |
Addresses
Primary practice location
96 Wadsworth Blvd
Suite 100
Lakewood, CO 80226-1516
Mailing address
96 Wadsworth Blvd
Suite 100
Lakewood, CO 80226-1516
Phone (303) 239-8327
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013355189 | Medicaid | CO |
Other names 1
- Stephanie Nesler
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35518 | CO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Colorado | Current | Accepting new patients | |
| Kidsfirst Pediatrics Prof., PLLC | Past | Accepting new patients |
Interoperability endpoints
- sharris100030@direct.childrenscolorado.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
-
- Specialist
- Lakewood, CO
- NPI 1265634539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336521600000",
"number": "1477550465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 WADSWORTH BLVD",
"address_2": "SUITE 100",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802261516",
"telephone_number": "303-239-8327",
"fax_number": "305-239-9946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 WADSWORTH BLVD",
"address_2": "SUITE 100",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802261516",
"telephone_number": "303-239-8327",
"fax_number": "305-239-9946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "STEPHANIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-05",
"last_updated": "2012-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "35518",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "013355189",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "NESLER",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.