Individual provider Active NPI

Patricia Kay Harris, M.D.

  • Pediatrics Physician
  • Gardendale, AL
National Provider Identifier
1528029212
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
00023211 Issued in AL
Practice address
1127 Pecan Ave
Suite 100
Gardendale, AL 35071-2543
Phone
(205) 608-2055
Fax
(205) 608-2045
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 00023211 AL Primary

Addresses

Primary practice location

1127 Pecan Ave
Suite 100
Gardendale, AL 35071-2543

Mailing address

1127 Pecan Ave
Suite 100
Gardendale, AL 35071-2543
Phone (205) 608-2055

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00023211ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthykids of Gardendale Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pharris@hkofgardendale.opdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1528029212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 PECAN AVE",
            "address_2": "SUITE 100",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712543",
            "telephone_number": "205-608-2055",
            "fax_number": "205-608-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 PECAN AVE",
            "address_2": "SUITE 100",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712543",
            "telephone_number": "205-608-2055",
            "fax_number": "205-608-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "PATRICIA",
        "middle_name": "KAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "00023211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardendale, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; 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.