Individual provider Active NPI

Jennifer Harris, ARNP

  • Family Nurse Practitioner
  • Largo, FL
National Provider Identifier
1518150705
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9229671 Issued in FL
Practice address
1775 E Bay Dr
Largo, FL 33771-2213
Phone
(727) 441-1508
NPI assigned
Aug 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9229671 FL Primary

Addresses

Primary practice location

1775 E Bay Dr
Largo, FL 33771-2213

Mailing address

12109 County Road 103
Oxford, FL 34484-2951
Phone (727) 441-1508

Other practice location 1

1000 E Tarpon Ave
Tarpon Springs, FL 34689-5438
Phone (727) 937-4203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080318000797 FL Practitioner - Nurse Practitioner 1557447414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Urology Institute LLCGroup PAC ID 2163653585, 152 clinicians

Practice addresses (Care Compare)

1840 Mease Dr
Suite 300
Safety Harbor, FL 34695-6605
Phone (727) 785-6011

Hospital & facility affiliations

  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • Mease Countryside Hospital Hospital, Safety Harbor, FL, CCN 100265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9229671FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Urology Institute, LLC CurrentSince Nov 11, 2024 Accepting new patients
Advanced Urology Institute, LLC CurrentSince Nov 11, 2024 Accepting new patients
Advanced Urology Institute LLC Past Accepting new patients

Locations

609 W Highland Blvd
Inverness, FL 34452
Phone (352) 726-9707

1775 E Bay Dr
Largo, FL 33771
Phone (727) 441-1508

2148 Duck Slough Blvd
Ste 102
New Port Richey, FL 34655
Phone (727) 375-1975

506 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 427-9554

12109 County Road 103
Oxford, FL 34484
Phone (352) 205-8981

35095 US Highway 19 N
Ste 202
Palm Harbor, FL 34684
Phone (727) 771-0600

1840 Mease Dr
Ste 300
Safety Harbor, FL 34695
Phone (727) 785-6011

Networks

  • Healthfirst Medicare Network H3359
  • Freedom Health HMO Network
  • Healthfirst Medicare Network H9678
  • Optimum HealthCare HMO Network
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc41222_advuroswflorida

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1518150705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12109 COUNTY ROAD 103",
            "city": "OXFORD",
            "state": "FL",
            "postal_code": "344842951",
            "telephone_number": "727-441-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 E BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337712213",
            "telephone_number": "727-441-1508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 E Tarpon Ave",
            "address_purpose": "LOCATION",
            "city": "Tarpon Springs",
            "state": "FL",
            "postal_code": "346895438",
            "country_code": "US",
            "telephone_number": "727-937-4203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JENNIFER",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9229671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.