Jena Lynn Harris, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT003143 Issued in PA

Practice address

4271 Leidy Ave
Philadelphia, PA 19104-1016

Phone

(215) 840-1232

NPI assigned

May 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222387200000",
    "number": "1508814500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4271 LEIDY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191041016",
            "telephone_number": "215-840-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4271 LEIDY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191041016",
            "telephone_number": "215-840-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JENA",
        "middle_name": "LYNN",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT003143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Harris, LMSW
• Hannah Harris, BCBA
• Heather Harris, APN
• James Harris
• Jaryse Carol Harris
• Jessika Harris, MD
• Jillian Natasha Harris, MSW, LCSW
• Jodi R Harris, MPA, PA-C
• Jordan C Harris, MD, PHD
• Kathleen A. Harris, MD

• Athletic Trainer in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.