Shelly Harris, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

686945 Issued in NY

Practice address

42 Lake St Ste D
Hamburg, NY 14075-4937

Phone

(716) 410-5390

NPI assigned

Aug 9, 2021

Sex

Female

Sole proprietor

No

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

Locations

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.

• Southtowns Mental Health Counseling PC

  • Mental Health Counselor
  • Hamburg, NY
  • NPI 1306411244

  Registered Nurse

  NPD

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1487328860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8597 BALCOM CROSS RD",
            "city": "SOUTH DAYTON",
            "state": "NY",
            "postal_code": "141389610",
            "telephone_number": "716-785-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 LAKE ST STE D",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754937",
            "telephone_number": "716-410-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SHELLY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "686945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hamburg Volunteer Fire Dept Inc
• Juliana Ferro Hamm
• Lisa Hanavan, ED.D, RSA, RPA
• Cameron Hanchett
• Hand & Rehabilitation Specialists OT, PT, SLP, PLLC
• Tomiko Alicea Ariel Harris
• Emily Ann Hart
• Thomas E Hartnett, DDS
• Christopher Jeremy Harvey, PHARMD
• Haven Ridge Counseling, LCSW, PLLC

• All providers in Hamburg, NY
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.

Verify at the official NPI Registry.