Individual provider Active NPI

Delilhaj Harbin, R.T.

  • Specialist
  • Memphis, TN
National Provider Identifier
1639508682
Registry record updated Nov 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5873 Issued in TN
Practice address
8295 Tournament Dr
150
Memphis, TN 38125-8906
Phone
(866) 563-7772
Fax
(901) 255-0758
NPI assigned
Nov 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 5873 TN Primary

Addresses

Primary practice location

8295 Tournament Dr
150
Memphis, TN 38125-8906

Mailing address

2472 Whitney Ave
Memphis, TN 38127-8350
Phone (901) 249-6652

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
5873TNMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1383955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383955200000",
    "number": "1639508682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2472 WHITNEY AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381278350",
            "telephone_number": "901-249-6652",
            "fax_number": "901-255-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8295 TOURNAMENT DR",
            "address_2": "150",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258906",
            "telephone_number": "866-563-7772",
            "fax_number": "901-255-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBIN",
        "first_name": "DELILHAJ",
        "credential": "R.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-09",
        "last_updated": "2013-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "5873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2013; 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.