Active NPI
Alfie Harry
- Prosthetist
- Petersburg, VA
National Provider Identifier
1689334047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Practice address
- 325 Brown St # 106
Petersburg, VA 23803-4234 - Phone
- (434) 594-8755
- NPI assigned
- Dec 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
325 Brown St # 106
Petersburg, VA 23803-4234
Mailing address
PO Box 8442
Jacksonville, FL 32239-0442
Phone (434) 594-8755
Other practice location 1
8442 Merrill Road
Suite 8442
Petersburg, FL 32239
Phone (434) 594-8755
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693785600000",
"number": "1689334047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8442",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322390442",
"telephone_number": "434-594-8755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 BROWN ST # 106",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238034234",
"telephone_number": "434-594-8755"
}
],
"practiceLocations": [
{
"address_1": "8442 Merrill Road",
"address_2": "Suite 8442",
"address_purpose": "LOCATION",
"city": "Petersburg",
"state": "FL",
"postal_code": "32239",
"country_code": "US",
"telephone_number": "434-594-8755",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRY",
"first_name": "ALFIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-28",
"last_updated": "2023-09-04",
"certification_date": "2022-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petersburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.