Individual provider Active NPI

Chenelle Angelique Harris, CPT

  • Clinical Medical Laboratory
  • Wichita, KS
National Provider Identifier
1548116197
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Practice address
1348 N Erie Ave
Wichita, KS 67214-2528
Phone
(316) 205-9686
NPI assigned
Mar 6, 2026
Last updated
Mar 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X KS
Military Clinical Medical Laboratory 291900000X KS
Clinical Medical Laboratory 291U00000X KS Primary

Addresses

Primary practice location

1348 N Erie Ave
Wichita, KS 67214-2528

Mailing address

1348 N Erie Ave
Wichita, KS 67214-2528
Phone (316) 205-9686

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1772755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1548116197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 N ERIE AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142528",
            "telephone_number": "316-205-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 N ERIE AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142528",
            "telephone_number": "316-205-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CHENELLE",
        "middle_name": "ANGELIQUE",
        "credential": "CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-06",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "291900000X",
            "taxonomy_group": "",
            "desc": "Military Clinical Medical Laboratory",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.