Sally Harrison, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704316900 Issued in MI

Practice address

1335 Pine Ave
Alma, MI 48801-1242

Phone

(989) 463-2181

NPI assigned

Aug 4, 2021

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

Enrolled in FL, MI2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Alma Family Practice PC

  • Family Medicine Physician
  • Alma, MI
  • NPI 1386677466
  Medicare reassignment NPD
• Central Florida Inpatient Medicine LLC

  • Internal Medicine Physician
  • Lake Mary, FL
  • NPI 1649228859
  Medicare reassignment NPD
• Cogent Healthcare of Pensacola LLC

  • Internal Medicine Physician
  • Jacksonville Beach, FL
  • NPI 1346287182
  Medicare reassignment NPD
• Cogent Healthcare of Pensacola LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1427631696
  NPD
• Cogent Healthcare of Pensacola LLC

  • Internal Medicine Physician
  • Hudson, FL
  • NPI 1689257701
  NPD

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1629742424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 GEORGIA AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334017615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 PINE AVE",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011242",
            "telephone_number": "989-463-2181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Technology Park Ste 109",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327467107",
            "country_code": "US",
            "telephone_number": "407-647-2346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "SALLY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11014669",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704316900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Hall
• Nicole Hall
• Maged Shaker Hanna, M.D.
• Kennedy Hannah, AT, ATC
• Michelle Harrast, LLPC
• Ashley Marie Hartman
• Erik Allan Hartwell
• Harvard Avenue Counseling Services, PLLC
• Thomas J Haverbush, M.D.
• Kimberly Marie Hayes

• Family Nurse Practitioner in Alma, MI
• Providers in Alma, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.