Dayle Harris

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F09181197 Issued in AZ

Practice address

17738 E Creosote LN
Gilbert, AZ 85298-8995

Phone

(623) 688-7362

NPI assigned

Feb 20, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

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.

• MDSL Health

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1205522265
  NPD (past)

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1497212948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17738 E CREOSOTE LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852988995",
            "telephone_number": "623-688-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17738 E CREOSOTE LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852988995",
            "telephone_number": "623-688-7362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DAYLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "F09181197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "221848",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corrine Day Harper, MC, LPC, NCC
• Joan Harper, MD
• Whitney Harrell-Whitby
• Carly Harris, M.S.
• Celest Ruth Harris
• Debra Harris, M.S.
• Ellesabeth Lee Harris, LPC
• Tracey Harris, BCBA
• Whitney Jane Harrison-Birmingham, PA-C
• Josiah Andrew Harrison, PHARMD

• Family Nurse Practitioner in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.