Active NPI
Audrey Leanne Harris, DO
- Internal Medicine Physician
- Tulsa, OK
National Provider Identifier
1528555372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 6669
- Practice address
- 1705 E 19TH St Ste 302
Tulsa, OK 74104-5410 - Phone
- (918) 748-7585
- Fax
- (918) 403-6352
- NPI assigned
- Apr 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 6669 | OK | Primary |
Addresses
Primary practice location
1705 E 19TH St Ste 302
Tulsa, OK 74104-5410
Mailing address
1705 E 19TH St Ste 302
Tulsa, OK 74104-5410
Phone (918) 748-7585
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 73.31 of 100
- Improvement activities
- 20
- Cost
- 82.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6669 | OK | MD | Physical Therapist |
Interoperability endpoints
- aharris658718@direct.saint-lukes.org
- aharris171446@ahs.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628208000000",
"number": "1528555372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 E 19TH ST STE 302",
"city": "TULSA",
"state": "OK",
"postal_code": "741045410",
"telephone_number": "918-748-7585",
"fax_number": "918-403-6352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 E 19TH ST STE 302",
"city": "TULSA",
"state": "OK",
"postal_code": "741045410",
"telephone_number": "918-748-7585",
"fax_number": "918-403-6352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "AUDREY",
"middle_name": "LEANNE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-17",
"last_updated": "2021-08-06",
"certification_date": "2021-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "6669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.