William Andrew Harrelson

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

215 Union Line Rd
Laurel, MS 39443-0772

Phone

(601) 323-6943

NPI assigned

Sep 28, 2020

Last updated

Sep 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1487261087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 UNION LINE RD",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394430772",
            "telephone_number": "601-323-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 UNION LINE RD",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394430772",
            "telephone_number": "601-323-6943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELSON",
        "first_name": "WILLIAM",
        "middle_name": "ANDREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "computer",
            "affiliation": "N",
            "address_1": "215 Union Line Rd",
            "city": "Laurel",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394430772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shuna Hare, CCSS
• Amanda R Harper
• James Harper, CRISIS SERVICES
• Jillian Francelia Harper, LMSW
• Mary Harper
• Chadwick J. Harris, DMD
• John Bernard Harris IV, AGACNP-BC
• Martha A Harris, RN
• John Hassell, MD
• Jennifer Hathorn, IDD WAIVER SERVICES

• Student in an Organized Health Care Education/Training Program in Laurel, MS
• Providers in Laurel, MS by specialty
• Student in an Organized Health Care Education/Training Program in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.