Individual provider Active NPI

Craig Anthony Harris, CPNP-PC

  • Pediatric Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1609140557
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP10989 Issued in AZ
Practice address
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone
(602) 933-0920
NPI assigned
Feb 23, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP10989 AZ Primary

Addresses

Primary practice location

1919 E Thomas Rd
Phoenix, AZ 85016-7710

Mailing address

2108 E Thomas Rd Ste 130
Phoenix, AZ 85016-0008
Phone (602) 933-3124

Other practice location 1

2175 N Alma School Rd Ste C104
Chandler, AZ 85224
Phone (480) 222-6770

Other practice location 2

2175 N Alma School Rd Ste C104
Chandler, AZ 85224
Phone (480) 222-6770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230503000842 AZ Practitioner - Nurse Practitioner 6002271723 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Children'S Hospital Current Accepting new patients
Mountain Park Health Center Current Accepting new patients
Mountain Park Health Center CurrentSince Apr 17, 2023 Accepting new patients
Mountain Park Health Center CurrentSince Apr 17, 2023 Accepting new patients
Phoenix Children'S Medical Group CurrentSince Oct 14, 2025 Accepting new patients
North Scottsdale Pediatric Associates Past Accepting new patients
Mountain Park Health Center - Dental Past Accepting new patients

Locations

6601 W Thomas Rd
Phoenix, AZ 85033

3003 N Central Ave
Ste 1600
Phoenix, AZ 85012
Phone (602) 323-3492

2108 E Thomas Rd
Ste 130
Phoenix, AZ 85016

1300 N 48th St
Phoenix, AZ 85008
Phone (480) 882-5917

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

635 E Baseline Rd
Phoenix, AZ 85042

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1609140557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 E THOMAS RD STE 130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850160008",
            "telephone_number": "602-933-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167710",
            "telephone_number": "602-933-0920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2175 N Alma School Rd Ste C104",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "85224",
            "country_code": "US",
            "telephone_number": "480-222-6770",
            "fax_number": "480-222-6771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2175 N Alma School Rd Ste C104",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "85224",
            "country_code": "US",
            "telephone_number": "480-222-6770",
            "fax_number": "480-222-6771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CRAIG",
        "middle_name": "ANTHONY",
        "credential": "CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-23",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "AP10989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.