Katina Marie Harris, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Anna, TX
NPI 1548948870 · NPPES record last updated Jun 19, 2024
Key facts
- NPI
- 1548948870
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1126908 (TX)
- Practice address
- 2010 W White St Ste 100
Anna, TX 75409-6149 - Phone
- (469) 425-3331
- NPI assigned
- Jul 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- DCS Medical PA
Practice addresses (Care Compare)
2520 Trimmier Rd
Suite 100
Killeen, TX 76542-1945
Phone (254) 577-5642
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230825001402 | TX | Practitioner - Nurse Practitioner | 2264895119 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DCS Medical PA | Current |
Accepting new patients | |
| DCS Medical PA | Multi-Specialty | Current |
Accepting new patients |
Locations
2010 W White St
Ste 100
Anna, TX 75409
Phone (469) 425-3331
3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832
5406 Wesley St
Greenville, TX 75402
Phone (254) 328-0550
2520 Trimmier Rd
Ste 100
Killeen, TX 76542
Phone (254) 390-9110
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 1126908 | TX | Yes |
Addresses
Primary practice location
2010 W White St Ste 100
Anna, TX 75409-6149
Mailing address
PO Box 96
Van Alstyne, TX 75495-0096
Phone (903) 744-6244
Other providers in Anna, TX
- Growing Smiles of Anna PLLC
- Guided Hands Supported Employment LLC
- Shameca Hampton
- Marcus Harmon
- Katherine Harper
- Cager Eaton Haynes
- Tiffany Helems
- Jessica Hiebert
- Mysti Hively
- Holistic Practice PLLC
All providers in Anna, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.