Dominique Harris, RDN

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

0000003856 Issued in TN

Practice address

401 Old Pleasant Grove Rd Apt 427
Mount Juliet, TN 37122-3995

Phone

(615) 870-8685

NPI assigned

Jun 8, 2022

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

State licenses

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1588393235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 BABB DR",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370874884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 OLD PLEASANT GROVE RD APT 427",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371223995",
            "telephone_number": "615-870-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DOMINIQUE",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "TN",
            "license": "0000003856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dominique.harris@dciinc.org",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Dialysis Clinic Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "378 N DuPree Ave",
            "city": "Brownsville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "380122332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jonah Harrington, PHARMD
• Julia Michelle Harrington
• Alexis Monet Harris
• Chelsey Harris
• Dena Patricia Harris
• Lauren Harris
• Michelle Linn Harris, LMFT
• Blake Ashlynne Hart
• Jessica Lauren Hartman, RBT
• Kiara Hassell

• Renal Nutrition Registered Dietitian in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• Renal Nutrition Registered Dietitian in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.