Active NPI
Yasmine Harris
- Case Management Registered Nurse
- Suffolk, VA
National Provider Identifier
1508336397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 0001204325
- Practice address
- 2000 Bennetts Creek Park Rd
Suffolk, VA 23435-3349 - Phone
- (313) 575-8949
- NPI assigned
- Dec 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001204325 | VA | |
| Community Health Registered Nurse | 163WC1500X | 0001204325 | VA | |
| Home Health Registered Nurse | 163WH0200X | 0001204325 | VA | |
| Lactation Consultant (Registered Nurse) | 163WL0100X | 0001204325 | VA | |
| Maternal Newborn Registered Nurse | 163WM0102X | 0001204325 | VA | |
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | 0001204325 | VA | |
| Case Management Registered Nurse | 163WC0400X | 0001204325 | VA | Primary |
Addresses
Primary practice location
2000 Bennetts Creek Park Rd
Suffolk, VA 23435-3349
Mailing address
2115 Turtle Pond CT
Suffolk, VA 23434-3640
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 |
|---|---|---|---|
| 0001204325 | VA | MD | Lactation Consultant (Registered Nurse) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543968000000",
"number": "1508336397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 TURTLE POND CT",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234343640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 BENNETTS CREEK PARK RD",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234353349",
"telephone_number": "313-575-8949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "YASMINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-05",
"last_updated": "2018-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001204325",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "VA",
"license": "0001204325",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "VA",
"license": "0001204325",
"primary": false
},
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "VA",
"license": "0001204325",
"primary": false
},
{
"code": "163WM0102X",
"taxonomy_group": "",
"desc": "Registered Nurse, Maternal Newborn",
"state": "VA",
"license": "0001204325",
"primary": false
},
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "VA",
"license": "0001204325",
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "VA",
"license": "0001204325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.