Christopher Harrell, LMT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0019017949 Issued in VA

Practice address

733 Thimble Shoals Blvd Ste 170
Newport News, VA 23606-4260

Phone

(757) 324-0249

NPI assigned

Dec 22, 2020

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1508453630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1298",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350111298",
            "telephone_number": "808-321-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 THIMBLE SHOALS BLVD STE 170",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064260",
            "telephone_number": "757-324-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "CHRISTOPHER",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-22",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0019017949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019017949",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Samantha Harper
• Kendra L Harrell, CNA, MEDICAL ASSIST.
• Terence Lamont Harrell
• Thomas A Harrington Jr., M.D.
• Harris Home Care
• Harris Teeter, LLC

• Athletic Trainer in Newport News, VA
• Providers in Newport News, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.