Individual provider Active NPI

Mauirce Harden, CNA, M.S

  • Nurse's Aide
  • Tampa, FL
National Provider Identifier
1568843746
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
CNA356098 Issued in FL
Practice address
320 W Fletcher Ave
Tampa, FL 33612-3400
Phone
(813) 605-0191
NPI assigned
Jun 14, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's AideGroup: 193200000X MULTI-SPECIALTY GROUP 376K00000X CNA356098 FL Primary

Addresses

Primary practice location

320 W Fletcher Ave
Tampa, FL 33612-3400

Mailing address

9811 Greenway Garden CT Apt 301
Tampa, FL 33619-7056
Phone (813) 992-4274

Other practice location 1

1005 n macdill ave
tampa, FL 33607-3712
Phone (727) 347-4325

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
CNA356098FLMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1434240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1568843746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 GREENWAY GARDEN CT APT 301",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336197056",
            "telephone_number": "813-992-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123400",
            "telephone_number": "813-605-0191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 n macdill ave",
            "address_purpose": "LOCATION",
            "city": "tampa",
            "state": "FL",
            "postal_code": "336073712",
            "country_code": "US",
            "telephone_number": "727-347-4325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDEN",
        "first_name": "MAUIRCE",
        "credential": "CNA, M.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "CNA356098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.