Teressa Lyne Harris, RN CCM -HEALTH COACH

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

989316 Issued in TX

Practice address

2504 111TH St Unit a
Lubbock, TX 79423-6764

Phone

(180) 620-1571

NPI assigned

Apr 30, 2021

Last updated

Apr 30, 2021By 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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1528641271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 111TH ST UNIT A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794236764",
            "telephone_number": "180-620-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 111TH ST UNIT A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794236764",
            "telephone_number": "180-620-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TERESSA",
        "middle_name": "LYNE",
        "credential": "RN CCM -HEALTH COACH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "TX",
            "license": "989316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli D'Ann Harris, MSN, RN, AGACNP
• Lauren Grace Harris
• Olivia A Harris, MSN,RN,CPNP-PC
• Ryan Rasmus Harris, M.D.
• Tacoiya Rochelle Harris, RN,BSN
• William Harris, CI
• Amy B Harrison, BS OTR
• Emma Harrison, MS, SLP-CF
• Natalie Harryman
• Bonnie Marie Hart-Ruiz, RN, MSN, CFNP

• Community Health Registered Nurse in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Community Health Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.