Tenicha Harris

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Practice address

1370 Lochstone Dr
Powder Springs, GA 30127-7893

Phone

(770) 317-8413

NPI assigned

Dec 12, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1588202212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 LOCHSTONE DR",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301277893",
            "telephone_number": "770-317-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 LOCHSTONE DR",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301277893",
            "telephone_number": "770-317-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TENICHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@fitsquad180.org",
            "affiliation": "N",
            "address_1": "1370 Lochstone Dr",
            "city": "Powder Springs",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301277893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Health Star Home Health Care LLC (Health Star)
• Healthwise Medical

• Day Training/Habilitation Specialist in Powder Springs, GA
• Providers in Powder Springs, GA by specialty
• Day Training/Habilitation Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.