Active NPI
Deanna Fay Harris
- Driver
- Dillwyn, VA
National Provider Identifier
1508536798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 212 Roachs LN
Dillwyn, VA 23936-3075 - Phone
- (143) 431-5308
- NPI assigned
- Sep 17, 2021
- Last updated
- Sep 17, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | VA | Primary |
Addresses
Primary practice location
212 Roachs LN
Dillwyn, VA 23936-3075
Mailing address
212 Roachs LN
Dillwyn, VA 23936-3075
Phone (434) 315-3084
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | location | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631836800000",
"number": "1508536798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 ROACHS LN",
"city": "DILLWYN",
"state": "VA",
"postal_code": "239363075",
"telephone_number": "434-315-3084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 ROACHS LN",
"city": "DILLWYN",
"state": "VA",
"postal_code": "239363075",
"telephone_number": "143-431-5308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "DEANNA",
"middle_name": "FAY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-17",
"last_updated": "2021-09-17",
"certification_date": "2021-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "location",
"affiliation": "N",
"endpointDescription": "location",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "location",
"address_1": "212 Roachs Ln",
"city": "Dillwyn",
"state": "VA",
"country_code": "US",
"postal_code": "239363075",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dillwyn, VA
- Dillwyn Life Care, LLC (Heritage Hall - Dillwyn)
- Donald Lee Driscoll, DDS
- Bailey Katherine Grant-Dickerson, RBT
- Handicab Transmedic LLC
- Shamika Harrell
- Roselyn E Hobbs, FNP-C
- Christopher O Hucks, NP
- Juels Community and Family Wellness Services
- Mattowler Inc. (Dillwyn Pharmacy)
- Courtney Michelle Miller
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.