Angela Marie Harrish, PEDIATRIC NURSE PRAC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

53-75721-112 Issued in KS

Practice address

5250 West 94TH Terrace
Prairie Village, KS 66207

Phone

(913) 451-0000

Fax

(913) 491-0547

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1598825515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14011 BENSON STREET",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66221",
            "telephone_number": "913-912-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 WEST 94TH TERRACE",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "66207",
            "telephone_number": "913-451-0000",
            "fax_number": "913-491-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISH",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "PEDIATRIC NURSE PRAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "115839",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KS",
            "license": "53-75721-112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Harkleroad, T-LMFT
• Angie Harmon, OTR
• Meredith Poore Harold, PHD, CCC-SLP
• Hannah Shanti Harper, MD, MPH
• Katelyn Harris
• Emily Harrison
• Ellen Hart
• Margaret Ann Hartman, P.T.
• Anita Hayes
• Susan Deon Hayes, RN, LPC

• Pediatric Nurse Practitioner in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• Pediatric Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.