Organization Active NPI

Harris Healthcare LLC

  • Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1679687412
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
HARRIS HEALTHCARE LLC
Practice address
7348 W. 21St St N
Suite 107
Wichita, KS 67205-1765
Phone
(316) 721-4828
Fax
(316) 721-4844
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Authorized official

Name
Mrs. Judith Kay Harris, APRNNPI 1871504076
Title
Owner
Phone
(316) 721-4828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

7348 W. 21St St N
Suite 107
Wichita, KS 67205-1765

Mailing address

7348 W. 21St St N.
Suite 107
Wichita, KS 67205-1765
Phone (316) 721-4828

Other identifiers 3

IdentifierTypeStateIssuer
160985OtherKSBCBS
DA3337OtherKSRAILROAD MEDICARE
200001300AMedicaidKS

National Provider Directory

National Provider Directory

Locations

500 N Logan St
#145
Belle Plaine, KS 67013
Phone (620) 488-2945

603 E 12th Ave
Emporia, KS 66801

401 E 6th Ave
Fowler, KS 67844
Phone (620) 646-5215

760 W D Ave
Kingman, KS 67068
Phone (620) 532-0295

437 Cedar St
Kingman, KS 67068
Phone (620) 532-3101

111 S 8th St
Marysville, KS 66508
Phone (785) 562-5522

1442 Garden Ln
McPherson, KS 67460

9235 W Central Ave
Wichita, KS 67212
Phone (316) 777-6718

525 N McComas St
Wichita, KS 67203
Phone (316) 946-9609

2008 S Hydraulic St
Wichita, KS 67211

7348 W 21st St N
Ste 107
Wichita, KS 67205
Phone (316) 779-2560

510 N Main St
Wichita, KS 67203

841 W 21st St N
Wichita, KS 67203
Phone (316) 267-1700

144 S Young St
Wichita, KS 67209

1440 E English St
Wichita, KS 67211
Phone (316) 266-7180

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1679687412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7348 W. 21ST ST N.",
            "address_2": "SUITE 107",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051765",
            "telephone_number": "316-721-4828",
            "fax_number": "316-721-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7348 W. 21ST ST N",
            "address_2": "SUITE 107",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051765",
            "telephone_number": "316-721-4828",
            "fax_number": "316-721-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-721-4828",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "160985",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA3337",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200001300A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.