Individual provider Active NPI

Mikel Ray Harris, PARAMEDIC

  • Paramedic
  • Battle Mountain, NV
National Provider Identifier
1609506872
Registry record updated Jun 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
License
76866 Issued in NV
Practice address
535 S Humboldt St
Battle Mountain, NV 89820-1988
Phone
(775) 635-1110
NPI assigned
Jun 12, 2022
Last updated
Jun 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X 76866 NV Primary

Addresses

Primary practice location

535 S Humboldt St
Battle Mountain, NV 89820-1988

Mailing address

535 S Humboldt St
Battle Mountain, NV 89820-1988
Phone (775) 635-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
76866NVMDParamedic

Practice roles

OrganizationSpecialtyStatusNew patients
County of Lander Current Accepting new patients
County of Lander Emergency Medical Technician, Paramedic Current Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1654992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654992000000",
    "number": "1609506872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 S HUMBOLDT ST",
            "city": "BATTLE MOUNTAIN",
            "state": "NV",
            "postal_code": "898201988",
            "telephone_number": "775-635-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 S HUMBOLDT ST",
            "city": "BATTLE MOUNTAIN",
            "state": "NV",
            "postal_code": "898201988",
            "telephone_number": "775-635-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MIKEL",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "PARAMEDIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-12",
        "last_updated": "2022-06-12",
        "certification_date": "2022-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "NV",
            "license": "76866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Mountain, NV

Sources for this page

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