Andrew Benjamin Harris, CNIM

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

License

1049 Issued in CO

Practice address

816 N Foote Ave
Colorado Springs, CO 80909-4508

Phone

(719) 338-6715

NPI assigned

Dec 4, 2012

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Pikes Peak Neuro Care, LLC

  • Neurology Physician
  • Denver, CO
  • NPI 1780090910
  NPD
• Velocity Neuro Care, LLC

  • Specialist
  • Denver, CO
  • NPI 1174813174
  NPD

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1659616431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1945",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809011945",
            "telephone_number": "719-888-1007",
            "fax_number": "719-487-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 N FOOTE AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809094508",
            "telephone_number": "719-338-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ANDREW",
        "middle_name": "BENJAMIN",
        "credential": "CNIM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-04",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "CO",
            "license": "1049",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "1049",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Harris, FNP-BC
• Alexandra Harris
• Alyssa Harris
• Amanda Louise Harris
• Amy Lee Harris, M.D.
• Ashlee Harris
• Ashley M Harris, REEGT, RPSGT, CNIM
• Bonnie Mi Harris, LPCC
• Carissa Harris
• Colleen Remien Harris, D.M.D.

• Electroneurodiagnostic Specialist/Technologist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Electroneurodiagnostic Specialist/Technologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.