Individual provider Active NPI

Winnie Harris, REGISTERED NURSE

  • Home Health Registered Nurse
  • New Hope, MN
National Provider Identifier
1689411084
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
2487249 Issued in MN
Practice address
4124 Quebec Ave N Ste 207D
New Hope, MN 55427-1240
Phone
(763) 587-8911
NPI assigned
Jul 11, 2024
Last updated
Jul 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 2487249 MN Primary

Addresses

Primary practice location

4124 Quebec Ave N Ste 207D
New Hope, MN 55427-1240

Mailing address

4124 Quebec Ave N Ste 207D
New Hope, MN 55427-1240

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

LicenseStateTypeSpecialty
2487249MNMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nurses Health Care LLC CurrentSince Jul 28, 2024 Accepting new patients
Nurses Health Care LLC CurrentSince Jul 21, 2024 Accepting new patients

Locations

4124 Quebec Ave N
Ste 207D
New Hope, MN 55427
Phone (763) 587-8911

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1689411084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 QUEBEC AVE N STE 207D",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554271240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 QUEBEC AVE N STE 207D",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554271240",
            "telephone_number": "763-587-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "WINNIE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "2487249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hope, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.