Individual provider Active NPI

Heather Rae Harris, FNP

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1528223906
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APN001053 Issued in NV
Practice address
500 E Windmill LN
Ste 125
Las Vegas, NV 89123
Phone
(702) 263-4795
Fax
(702) 263-4804
NPI assigned
Jul 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APN001053 NV Primary

Addresses

Primary practice location

500 E Windmill LN
Ste 125
Las Vegas, NV 89123

Mailing address

500 E Windmill LN
Ste 125
Las Vegas, NV 89123
Phone (702) 263-4795

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address heather.harrisfnp@direct.sundancemedical.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20081022000474 NV Practitioner - Nurse Practitioner 4789742529 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN001053NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sundance Medical Center LLP CurrentSince Jul 15, 2008 Accepting new patients

Locations

500 E Windmill Ln
Ste 125
Las Vegas, NV 89123
Phone (702) 263-4795

500 E Windmill Ln
Ste 125E
Las Vegas, NV 89123

500 E Windmill Ln
Las Vegas, NV 89123

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: heather.harrisfnp@direct.sundancemedical.nextgenshare.com

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": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1528223906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E WINDMILL LN",
            "address_2": "STE 125",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89123",
            "telephone_number": "702-263-4795",
            "fax_number": "702-263-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E WINDMILL LN",
            "address_2": "STE 125",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89123",
            "telephone_number": "702-263-4795",
            "fax_number": "702-263-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "HEATHER",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "APN001053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather.harrisfnp@direct.sundancemedical.nextgenshare.com",
            "affiliation": "N",
            "address_1": "500 E Windmill Ln",
            "address_2": "Ste 125",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "89123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.