Jackielyn Harris, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

653975 Issued in CA

Practice address

273 Green St
San Francisco, CA 94133-4170

Phone

(415) 517-7429

NPI assigned

Mar 24, 2020

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)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Primocare, LLC

  • Case Management Agency
  • San Francisco, CA
  • NPI 1760080691
  NPD Authorized official
• Primomd, Inc

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1366196396

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1487281978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 GREEN ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334170",
            "telephone_number": "415-517-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 GREEN ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334170",
            "telephone_number": "415-517-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JACKIELYN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "653975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Lyn Harris, MD
• Gerald Edwin Harris, M.D.
• Haven Rose Harris
• Hobart W. Harris, MD
• Ian Stewart Harris, M.D.
• Jamal Cinque Harris, MD, MPH
• Jeffrey M. Harris, M.D.
• John P. Harris, M.D.
• Julie Lynn Harris
• Karyssa Harris

• Registered Nurse in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.