Active NPI
Kathleen Harris, R.N.
- Registered Nurse
- Andover, MA
National Provider Identifier
1669876462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN199726
- Practice address
- 251 S Main St
Andover, MA 01810-4136 - Phone
- (978) 475-4503
- NPI assigned
- Oct 22, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN199726 | MA | Primary |
| Home Health Registered Nurse | 163WH0200X | RN199726 | MA | |
| School Registered Nurse | 163WS0200X | RN199726 | MA |
Addresses
Primary practice location
251 S Main St
Andover, MA 01810-4136
Mailing address
207 Safford St
Quincy, MA 02170-1540
Phone (617) 817-7806
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN199726 | MA | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413936000000",
"number": "1669876462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 SAFFORD ST",
"city": "QUINCY",
"state": "MA",
"postal_code": "021701540",
"telephone_number": "617-817-7806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 S MAIN ST",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018104136",
"telephone_number": "978-475-4503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "KATHLEEN",
"name_prefix": "Ms.",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-22",
"last_updated": "2014-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN199726",
"primary": true
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "MA",
"license": "RN199726",
"primary": false
},
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "MA",
"license": "RN199726",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.