Active NPI
Penny Harris, DC
- Chiropractor
- Georgetown, KY
National Provider Identifier
1700327210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 276710
- Practice address
- 108 Osbourne Way Ste 6
Georgetown, KY 40324-9693 - Phone
- (502) 867-0073
- Fax
- (502) 867-0560
- NPI assigned
- Mar 16, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1362 | HI | |
| Chiropractor | 111N00000X | 276710 | KY | Primary |
Addresses
Primary practice location
108 Osbourne Way Ste 6
Georgetown, KY 40324-9693
Mailing address
108 Osbourne Way Ste 6
Georgetown, KY 40324-9693
Phone (502) 867-0073
Other practice location 1
30 E Lipoa St
Kihei, HI 96753-5821
Phone (808) 270-2530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100813740 | Medicaid | KY |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgetown Integrated Medicine PSC | Current | Accepting new patients | |
| On the Go Chiro | Chiropractor | Current | Accepting new patients |
Locations
108 Osborne Way
Ste 6
Georgetown, KY 40324
Phone (502) 316-6533
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 and National Provider Directory roles.
-
- Chiropractor
- Kihei, HI
- NPI 1790298461
-
- Adult Medicine Physician
- Georgetown, KY
- NPI 1346640208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654646400000",
"number": "1700327210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 OSBOURNE WAY STE 6",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403249693",
"telephone_number": "502-867-0073",
"fax_number": "502-867-0560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 OSBOURNE WAY STE 6",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403249693",
"telephone_number": "502-867-0073",
"fax_number": "502-867-0560"
}
],
"practiceLocations": [
{
"address_1": "30 E Lipoa St",
"address_purpose": "LOCATION",
"city": "Kihei",
"state": "HI",
"postal_code": "967535821",
"country_code": "US",
"telephone_number": "808-270-2530",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "PENNY",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-16",
"last_updated": "2022-06-08",
"certification_date": "2022-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "HI",
"license": "1362",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "276710",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100813740",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.