Erica Harris

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

28196755A Issued in IN

Practice address

10909 Bethel Rd
Fort Wayne, IN 46818-8913

Phone

(260) 705-6376

NPI assigned

May 27, 2014

Last updated

May 27, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1568874485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10909 BETHEL RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468188913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10909 BETHEL RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468188913",
            "telephone_number": "260-705-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ERICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CO",
            "license": "RN.1626690",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "IN",
            "license": "28196755A",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "TX",
            "license": "853946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey D Harris, PT, DPT
• Austin Harris, PHARMD
• Candice F Harris
• Carly Kauwela Harris, DPT
• Destiny Harris
• Jaichele Harris
• Jaquelle Harris, RBT
• Jeffrey L Harris, MD
• Jessica Elaine Harris
• Julianne Lisa Harris, RPH

• Critical Care Medicine Registered Nurse in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Critical Care Medicine Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.