Sandra Vivian Harshaw, CNT/ PHLEBOTOMY

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

00120119 Issued in TN

Practice address

303 S Main St
Suite C
Goodlettsville, TN 37072-1712

Phone

(615) 474-2050

NPI assigned

Jul 2, 2011

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

Other identifiers 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": "1309564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336953600000",
    "number": "1598052193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S MAIN ST",
            "address_2": "SUITE C",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721712",
            "telephone_number": "615-474-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S MAIN ST",
            "address_2": "SUITE C",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721712",
            "telephone_number": "615-474-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARSHAW",
        "first_name": "SANDRA",
        "middle_name": "VIVIAN",
        "name_prefix": "Ms.",
        "credential": "CNT/ PHLEBOTOMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-02",
        "last_updated": "2012-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "TN",
            "license": "00120119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING/ CNT",
            "identifier": "00120119",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amer Haque, M.D.
• Stephanie Kaye Harding, D.D.S.
• Preston Lewis Harris Jr., DDS
• Sandra Gail Harris, DDS
• Deidra Harrison-McClain
• Hart to Heart Medical
• Nancy Borja Hart, PHARM. D.
• Wanda J Hart
• Belinda Hancock Hatcher, FNP-BC
• Yvonne Hayden, OTR

• Nurse's Aide in Goodlettsville, TN
• Providers in Goodlettsville, TN by specialty
• Nurse's Aide in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.