Thomas Patrick Harrison, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703098125 Issued in MI

Practice address

1215 Fulton St E
Grand Rapids, MI 49503-3849

Phone

(616) 742-0351

Fax

(616) 742-0370

NPI assigned

Mar 7, 2019

Sex

Male

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

State licenses

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1548728611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 137TH AVE",
            "city": "WAYLAND",
            "state": "MI",
            "postal_code": "493489705",
            "telephone_number": "616-322-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 FULTON ST E",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033849",
            "telephone_number": "616-742-0351",
            "fax_number": "616-742-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "THOMAS",
        "middle_name": "PATRICK",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703098125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Samuel Harrison
• Emily Harrison
• Jerrod Harrison, LAT, ATC
• Michael Harrison, MD
• Michael Debre' Harrison, M.D.
• Jenny Harrod
• Jordan Taylor Harroun
• Dana Harshbarger, PHARMD
• Chelsie Ann Harsini, CRNA
• April Lynn Hart

• Licensed Practical Nurse in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.