Jina M Harris, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

310266 Issued in NY

Practice address

168 Congress St Apt 2
Cohoes, NY 12047-4566

Phone

(518) 203-8191

NPI assigned

Sep 30, 2022

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1518681881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 CONGRESS ST APT 2",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "120474566",
            "telephone_number": "518-203-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 CONGRESS ST APT 2",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "120474566",
            "telephone_number": "518-203-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JINA",
        "middle_name": "M",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "310266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Anne Gumprecht
• Renu Gupta, MD
• Kimberly Hammond, COTA
• Theresa Dooley Hance, PT
• John Michael Hanley, CASAC
• Tatiana C Hellwig, MD
• David Lawrence Herman, M.D.
• Bruce William Herold, DPM
• Sharon M Hodges, R.N.
• Deana Hopeck

• Licensed Practical Nurse in Cohoes, NY
• Providers in Cohoes, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.