Active NPI
Karissa Consuelo Harrill
- Speech-Language Pathologist
- Hemet, CA
National Provider Identifier
1679292957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 30767
- Practice address
- 41701 Stetson Ave
Hemet, CA 92544-7598 - Phone
- (951) 765-5150
- NPI assigned
- Aug 22, 2022
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 30767 | CA | Primary |
Addresses
Primary practice location
41701 Stetson Ave
Hemet, CA 92544-7598
Mailing address
32216 Corte Chatada
Temecula, CA 92592-6320
Phone (619) 890-8468
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kharrill@hemetusd.org | Health Information Exchange (HIE) | Hemet Unified School District |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30767 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1679292957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32216 CORTE CHATADA",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925926320",
"telephone_number": "619-890-8468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41701 STETSON AVE",
"city": "HEMET",
"state": "CA",
"postal_code": "925447598",
"telephone_number": "951-765-5150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRILL",
"first_name": "KARISSA",
"middle_name": "CONSUELO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-22",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "30767",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kharrill@hemetusd.org",
"affiliation": "Y",
"endpointDescription": "work email",
"affiliationName": "Hemet Unified School District",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2350 W Latham Ave",
"city": "Hemet",
"state": "CA",
"country_code": "US",
"postal_code": "925453654",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.