Active NPI
Andrea Denise Harris, B.S. CRT
- Certified Respiratory Therapist
- Boca Raton, FL
National Provider Identifier
1487836490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Respiratory Therapist
- License
- 4005
- Practice address
- 5901 Broken Sound Pkwy
Boca Raton, FL 33487-2773 - Phone
- (800) 875-8999
- NPI assigned
- Nov 30, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | 4005 | KY | Primary |
| General Acute Care Hospital | 282N00000X | 4005 | KY |
Addresses
Primary practice location
5901 Broken Sound Pkwy
Boca Raton, FL 33487-2773
Mailing address
3225 Perlino Dr
Murfreesboro, TN 37128-2873
Phone (615) 494-0743
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4005 | KY | MD | General Acute Care Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196380800000",
"number": "1487836490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3225 PERLINO DR",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371282873",
"telephone_number": "615-494-0743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 BROKEN SOUND PKWY",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334872773",
"telephone_number": "800-875-8999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "ANDREA",
"middle_name": "DENISE",
"name_prefix": "Ms.",
"credential": "B.S. CRT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-30",
"last_updated": "2007-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "227800000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified",
"state": "KY",
"license": "4005",
"primary": true
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "KY",
"license": "4005",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.