Kimberly Lyn Harris, RN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

RN00106701 Issued in WA

Practice address

3715 Municipal Dr
McHenry, IL 60050-5483

Phone

(815) 759-2306

Fax

(815) 759-1953

NPI assigned

Apr 14, 2023

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1528754348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 MUNICIPAL DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600505483",
            "telephone_number": "815-759-2306",
            "fax_number": "815-759-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 MUNICIPAL DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600505483",
            "telephone_number": "815-759-2306",
            "fax_number": "815-759-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KIMBERLY",
        "middle_name": "LYN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "WA",
            "license": "RN00106701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Haririe, P.A.-C
• James Harkins
• Maria NA Harkness
• James E Harley, MD
• Lashonda Sheneick Harrington
• Harrison Chiropractic Center, S.C.
• Andrew Michael Harrison, D.C.
• Haley Anne Harte
• Timothy James Hartlett, DC
• Syed Ommar Hassan, MD

• Ambulatory Care Registered Nurse in McHenry, IL
• Providers in McHenry, IL by specialty
• Ambulatory Care Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.