Active NPI
Iris Susanne Harrison, MD
- Dermatology Physician
- Richmond, VA
National Provider Identifier
1558114173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 0116039387
- Practice address
- 1001 E Leigh St FL 11
Richmond, VA 23298-5004 - Phone
- (804) 560-8919
- NPI assigned
- Apr 11, 2024
- Last updated
- Jun 29, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 0116039387 | VA | Primary |
Addresses
Primary practice location
1001 E Leigh St FL 11
Richmond, VA 23298-5004
Mailing address
PO Box 980257
Richmond, VA 23298-0257
Phone (804) 828-9783
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240910002307 | VA | Order and Referring Only - Dermatology | 2961942545 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0116039387 | VA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751155200000",
"number": "1558114173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 980257",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232980257",
"telephone_number": "804-828-9783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E LEIGH ST FL 11",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985004",
"telephone_number": "804-560-8919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "IRIS",
"middle_name": "SUSANNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-11",
"last_updated": "2025-06-29",
"certification_date": "2025-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "VA",
"license": "0116039387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.