Active NPI
Kennie F Harr
- Adult Psychiatric/Mental Health Registered Nurse
- Wilkes Barre, PA
National Provider Identifier
1669646394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- RN161639L
- Practice address
- 110 S Pennsylvania Ave
Wilkes Barre, PA 18701-3301 - Phone
- (570) 552-6000
- Fax
- (570) 552-6021
- NPI assigned
- Apr 14, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | RN161639L | PA | Primary |
Addresses
Primary practice location
110 S Pennsylvania Ave
Wilkes Barre, PA 18701-3301
Mailing address
110 S Pennsylvania Ave
Wilkes Barre, PA 18701-3301
Phone (570) 552-6000
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)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN161639L | PA | MD | Adult Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luzerne Wyoming County Mental Health Center #1 | Past | Accepting new patients | |
| Luzerne Wyoming County Mental Health Center #1 | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Community Counseling Services of NEPA
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wilkes Barre, PA
- NPI 1487774824
-
dba Behavioral Health Services of Wyoming Valley
- Psychiatric Hospital
- Kingston, PA
- NPI 1861425159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208131200000",
"number": "1669646394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S PENNSYLVANIA AVE",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187013301",
"telephone_number": "570-552-6000",
"fax_number": "570-552-6021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S PENNSYLVANIA AVE",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187013301",
"telephone_number": "570-552-6000",
"fax_number": "570-552-6021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARR",
"first_name": "KENNIE",
"middle_name": "F",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-14",
"last_updated": "2008-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "PA",
"license": "RN161639L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.