Caitlin Germeroth Harris, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11009904 Issued in FL

Practice address

3775 Lake Center Dr
Mount Dora, FL 32757-2363

Phone

(352) 508-7040

NPI assigned

Feb 5, 2021

Last updated

Feb 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in FL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FAEBAA
• FHIR API: https://api.platform.athenahealth.com/18839/brand/1/csg/1/fhir/r4

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.

• Innovative Primary Care PLC

  dba Lake Palliative Care Providers

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Eustis, FL
  • NPI 1346524956
  NPD (past)

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1619569266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 VASSAR DR",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327265266",
            "telephone_number": "352-217-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 LAKE CENTER DR",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572363",
            "telephone_number": "352-508-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CAITLIN",
        "middle_name": "GERMEROTH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11009904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.lakePCP.com",
            "affiliation": "N",
            "endpointDescription": "URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Practice website",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Practice website",
            "address_1": "3775 Lake Center Dr",
            "city": "Mount Dora",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327572363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gina Elizabeth Hall-Ingalls, ARNP-C
• Carol Hall, RBT
• Joshua Andrew Hamann, PA-C
• Pamela Ann Hand, LCSW
• Michellique Hansen
• Iaya Harris
• Khadijah D Harris
• Lamar Westley Harris II, RBT
• Shantele Harris
• Vanessa Harrison

• Nurse Practitioner in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.