Individual provider Active NPI

Jennifer Rae Harris, APRN

  • Family Nurse Practitioner
  • Temple Terrace, FL
National Provider Identifier
1720653108
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11013343 Issued in FL
Practice address
13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926
Phone
(813) 779-6303
Fax
(786) 868-0012
NPI assigned
May 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11013343 FL Primary

Addresses

Primary practice location

13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926

Mailing address

13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926
Phone (813) 779-6303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210813002179 FL Practitioner - Nurse Practitioner 5294139135 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Care Specialists LLCGroup PAC ID 0345493623, 101 clinicians
Orlando Inpatient Medicine PAGroup PAC ID 0749598316, 54 clinicians

Practice addresses (Care Compare)

1451 El Camino Real
The Villages, FL 32159-0041
Phone (407) 647-2346

1507 S Hiawassee Rd
Suite 206
Orlando, FL 32835-5719
Phone (407) 445-9545

502 W Highland Blvd
Inverness, FL 34452-4720
Phone (407) 647-2346

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Associates of Florida LLC CurrentSince Apr 12, 2024 Accepting new patients
Premier Medical Associates of Florida LLC CurrentSince Apr 12, 2024 Accepting new patients
Premier Medical Associates of Florida Healthcare, PA CurrentSince Apr 12, 2024 Accepting new patients
Premier Specialty Alliance Inc CurrentSince Apr 12, 2024 Accepting new patients
Premier Medical Associates All Florida, LLC CurrentSince Apr 12, 2024 Accepting new patients
Central Florida Inpatient Medicine LLC CurrentSince Oct 21, 2024 Accepting new patients
Florida Hospital Physician Group Inc Family CurrentSince Aug 9, 2021 Accepting new patients
Adventist Health System-Sunbelt Inc Family CurrentSince Aug 9, 2021 Accepting new patients
Inpatient Care Specialists LLC CurrentSince May 26, 2022 Accepting new patients
Florida Health Care LLC CurrentSince May 26, 2022 Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Aug 9, 2021 Accepting new patients

Locations

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111

1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

13067 N Telecom Pkwy
Temple Terrace, FL 33637
Phone (813) 333-9108

1580 Santa Barbara Blvd
The Villages, FL 32159
Phone (352) 494-6882

1580 Santa Barbara Blvd
Ste D
The Villages, FL 32159
Phone (352) 508-1512

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Interoperability endpoints

  • Direct secure messaging: jharris592693@direct.shands.ufl.edu

Organizations & group practices 12

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1720653108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13067 N TELECOM PKWY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370926",
            "telephone_number": "813-779-6303",
            "fax_number": "786-868-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13067 N TELECOM PKWY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370926",
            "telephone_number": "813-779-6303",
            "fax_number": "786-868-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JENNIFER",
        "middle_name": "RAE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11013343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

Verify at the official NPI Registry.