Raeanna Cooner Harper, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-136270 Issued in AL

Practice address

4100 Greystone Dr
Birmingham, AL 35242-6409

Phone

(205) 522-7473

NPI assigned

Nov 10, 2022

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1710695580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 SHANDWICK PL",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352426418",
            "telephone_number": "205-522-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 GREYSTONE DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352426409",
            "telephone_number": "205-522-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "RAEANNA",
        "middle_name": "COONER",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-136270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Hulsey Harper, MS, CCC-SLP
• Maya Harper, PA
• Merry Grace Harper
• Michael Harper, CRNP
• Rachel Harper
• Scott Harper, MD
• Sharon Elizabeth Harper, LPC
• Kimberly Reed Harradine, D.M.D.
• Robert W Harradine, DMD
• Andrew Harrell, CRNA

• Family Nurse Practitioner in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.

Verify at the official NPI Registry.