Active NPI
Breanda Harris, RN
- Registered Nurse
- Houston, TX
National Provider Identifier
1700513603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1006765
- Practice address
- 6464 E Sam Houston Pkwy N Apt 410
Houston, TX 77049-7269 - Phone
- (832) 716-4970
- Fax
- (832) 218-5555
- NPI assigned
- Aug 2, 2022
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1006765 | TX | Primary |
Addresses
Primary practice location
6464 E Sam Houston Pkwy N Apt 410
Houston, TX 77049-7269
Mailing address
6022 E. Sam Houston Parkway North
1052
Houston, TX 77049
Phone (832) 716-4970
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1006765 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manifest Wigs LLC | Current | Accepting new patients |
Locations
6022 E Sam Houston Pkwy N
#1052
Houston, TX 77049
Organizations & group practices 1
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.
-
- Prosthetic/Orthotic Supplier
- Houston, TX
- NPI 1841927654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1700513603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6022 E. SAM HOUSTON PARKWAY NORTH",
"address_2": "1052",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77049",
"telephone_number": "832-716-4970",
"fax_number": "832-218-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6464 E SAM HOUSTON PKWY N APT 410",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770497269",
"telephone_number": "832-716-4970",
"fax_number": "832-218-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "BREANDA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-02",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "1006765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.