Delores Elene Joy Harris, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

324449 Issued in OH

Practice address

11412 Gray Ave
Cleveland, OH 44108-2323

Phone

(216) 541-5446

Fax

(216) 541-5446

NPI assigned

Apr 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659494581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11412 GRAY AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441082323",
            "telephone_number": "216-541-5446",
            "fax_number": "216-541-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11412 GRAY AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441082323",
            "telephone_number": "216-541-5446",
            "fax_number": "216-541-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DELORES",
        "middle_name": "ELENE JOY",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OH",
            "license": "324449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2674842",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal L Harris, MSSA, LSW,LICDC
• Daisetta Harris, QMHS
• Danelle Harris
• David Jinn Harris, M.D.
• Davonte D Harris
• Dionte Harris
• Eddie Harris Jr.
• Elizabeth Harris, PHD
• Emia Harris
• Felicia Anne Harris, RN

• Home Health Registered Nurse in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Home Health Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.