Individual provider Active NPI

Lorraine S Harris, A.P.N.,C.

  • Women's Health Nurse Practitioner
  • Pennsauken, NJ
National Provider Identifier
1487828018
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
26NN07055600 Issued in NJ
Practice address
6981 N Park Dr Ste 300a
Pennsauken, NJ 08109-4205
Phone
(856) 854-4524
Fax
(856) 854-8216
NPI assigned
Apr 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 26NN07055600 NJ Primary
Inpatient Obstetric Registered Nurse 163WX0003X 26NO07055600 NJ

Addresses

Primary practice location

6981 N Park Dr Ste 300a
Pennsauken, NJ 08109-4205

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Other identifiers 1

IdentifierTypeStateIssuer
0276111MedicaidNJ

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lharris116755@directvirtua.org
Direct Messaging Address lharris116755@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110915000512 NJ Practitioner - Nurse Practitioner 7517138944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

3242 Route 206
Bordentown, NJ 08505-4517

6981 N Park Dr
Pennsauken, NJ 08109-4201

Hospital & facility affiliations

  • Virtua Our Lady of Lourdes Hospital Hospital, Camden, NJ, CCN 310029
  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NO07055600NJMDInpatient Obstetric Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Nov 1, 2020 Accepting new patients
Virtua Medical Group, PA CurrentSince Nov 1, 2020 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1000 Atlantic Ave
Ste 170A
Camden, NJ 08104

1601 Haddon Ave
Camden, NJ 08103
Phone (856) 757-3700

1600 Haddon Ave
Camden, NJ 08103
Phone (609) 757-3500

1055 Haddon Ave
Haddon Township, NJ 08108
Phone (856) 854-4242

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

301 Lippincott Dr
Ste 120
Marlton, NJ 08053
Phone (856) 355-0333

303 Lippincott Dr
Marlton, NJ 08053

141 Route 70 E
Ste E
Marlton, NJ 08053
Phone (856) 985-7373

6981 N Park Dr
Ste 300A
Pennsauken, NJ 08109
Phone (856) 854-4524

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1487828018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6981 N PARK DR STE 300A",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081094205",
            "telephone_number": "856-854-4524",
            "fax_number": "856-854-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "LORRAINE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "A.P.N.,C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-15",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NN07055600",
            "primary": true
        },
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "NJ",
            "license": "26NO07055600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0276111",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lharris116755@directvirtua.org",
            "affiliation": "N",
            "address_1": "1000 Atlantic Ave Ste 170A",
            "city": "Camden",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081041132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lharris116755@directvirtua.org",
            "affiliation": "N",
            "address_1": "6981 N Park Dr Ste 300A",
            "city": "Pennsauken",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081094205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pennsauken, NJ

Sources for this page

Verify at the official NPI Registry.