Active NPI
Kierra Harrison
- Clinical Medical Laboratory
- Apopka, FL
National Provider Identifier
1487315941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 9573933
- Practice address
- 1626 W Orange Blossom TRL # 1032
Apopka, FL 32712-2641 - Phone
- (407) 426-3139
- NPI assigned
- Jan 6, 2022
- 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 |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 9573933 | FL | Primary |
Addresses
Primary practice location
1626 W Orange Blossom TRL # 1032
Apopka, FL 32712-2641
Mailing address
1626 W Orange Blossom TRL # 1032
Apopka, FL 32712-2641
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 |
|---|---|---|---|
| 9573933 | FL | MD | Clinical Medical Laboratory |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641427200000",
"number": "1487315941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1626 W ORANGE BLOSSOM TRL # 1032",
"city": "APOPKA",
"state": "FL",
"postal_code": "327122641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1626 W ORANGE BLOSSOM TRL # 1032",
"city": "APOPKA",
"state": "FL",
"postal_code": "327122641",
"telephone_number": "407-426-3139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "KIERRA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-06",
"last_updated": "2022-01-06",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "FL",
"license": "9573933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Apopka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.