Tiffany Jamela Harris

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

869469 Issued in NV

Practice address

2583 Land Rush Dr
Henderson, NV 89002-9371

Phone

(216) 571-8207

NPI assigned

Jun 24, 2025

Last updated

Jun 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tiffany Jamela Fuller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1700774478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2583 LAND RUSH DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890029371",
            "telephone_number": "216-571-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2583 LAND RUSH DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890029371",
            "telephone_number": "216-571-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TIFFANY",
        "middle_name": "JAMELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NV",
            "license": "869469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "FULLER",
            "middle_name": "JAMELA",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shannon Harris, LCSW
• Shawnta Chavon Harris
• Taija Harris
• Tamara L Harris, LCPC
• Tameka Larente Harris
• Zachary Atia Harris
• Dawn Harrison, M.ED
• James Lee Harrison
• Lindsey Harrison, LCPC, LCADC
• Olimpia Harrison, BS, HUMAN SERVICES

• Licensed Practical Nurse in Henderson, NV
• Providers in Henderson, NV by specialty
• Licensed Practical Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.