Carla Renee' Harris, LVN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

VN 204582 Issued in CA

Practice address

6817 Mill Springs CT
Stockton, CA 95219-3223

Phone

(209) 688-7699

NPI assigned

Jul 12, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1710299326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 MILL SPRINGS CT",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952193223",
            "telephone_number": "209-688-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 MILL SPRINGS CT",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952193223",
            "telephone_number": "209-688-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CARLA",
        "middle_name": "RENEE'",
        "name_prefix": "Miss",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-12",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CA",
            "license": "VN 204582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arielle Rayana Harrell
• Barbara Anne Harrington, PTA
• Tyesha Harris-Giller
• Amanda Lea Harris
• Autumn Harris, RBT
• Christopher Harris
• Craig Harris, M.D.
• Dana Lamont Harris
• Lainey Maegen Harris
• Ledriena Harris

• Licensed Practical Nurse in Stockton, CA
• Providers in Stockton, CA by specialty
• Licensed Practical Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.