Individual provider Active NPI

Leanna Mae Harris, RN

  • Registered Nurse
  • Colorado Springs, CO
National Provider Identifier
1629599212
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1647982 Issued in CO
Practice address
7047 Bonnie Brae LN
Colorado Springs, CO 80922-3131
Phone
(360) 921-0345
Fax
(360) 921-0345
NPI assigned
Jul 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1647982 CO Primary

Addresses

Primary practice location

7047 Bonnie Brae LN
Colorado Springs, CO 80922-3131

Mailing address

7047 Bonnie Brae LN
Colorado Springs, CO 80922-3131
Phone (360) 921-0345

Other practice location 1

7047 Bonnie Brae Ln
Colorado Springs, CO 80922-3131
Phone (360) 921-0345

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1647982COMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1629599212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7047 BONNIE BRAE LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809223131",
            "telephone_number": "360-921-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7047 BONNIE BRAE LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809223131",
            "telephone_number": "360-921-0345",
            "fax_number": "360-921-0345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7047 Bonnie Brae Ln",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809223131",
            "country_code": "US",
            "telephone_number": "360-921-0345",
            "fax_number": "360-921-0345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "LEANNA",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "1647982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.