Kimberly Ann Harrison

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

301860 Issued in FL

Practice address

515 Osprey Landing Dr
Lakeland, FL 33813-4681

Phone

(863) 619-5471

NPI assigned

Sep 9, 2019

Last updated

Sep 9, 2019By the provider in NPPES

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": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1518516848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 BAILEY RD",
            "city": "MULBERRY",
            "state": "FL",
            "postal_code": "338609460",
            "telephone_number": "863-844-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 OSPREY LANDING DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338134681",
            "telephone_number": "863-619-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "301860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shontell Lavora Harris
• Teresa Ann Harris, LMHC PSY.D.
• Erin R. Harrison, MA, CCC-SLP
• Jayla Patricia Harrison
• Kaelyn Callahan Harrison, MSN, APRN, FNP-C
• Sandra J Harrison, RD
• Stormy Harrison
• Victoria Kehler Harrison, PA
• Kelly Shea Hart
• Karen Hartfield, MA, RMHCI

• Nurse's Aide in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Nurse's Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.