Phillind Kayon Harrison Sr.

Primary specialty

DriverTaxonomy code 172A00000X

Practice address

7901 4TH St N Ste 300
St Petersburg, FL 33702-4399

Phone

(352) 321-7652

Fax

(352) 323-8999

NPI assigned

Mar 25, 2022

Last updated

Mar 25, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Interstate Fleet Dispatching Company LLC

  dba Interstate Non-Emergency Medical Transport

  • Non-emergency Medical Transport (VAN)
  • Leesburg, FL
  • NPI 1922713239
  NPD Authorized official

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1720738321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27615 US HWY 27",
            "address_2": "STE 109 #201",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "34748",
            "telephone_number": "352-321-7652",
            "fax_number": "352-323-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399",
            "telephone_number": "352-321-7652",
            "fax_number": "352-323-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "PHILLIND",
        "middle_name": "KAYON",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Harris, PHARM.D.
• Dawn Harrison
• Holly Harrison, LMHC
• John B Harrison, DDS,MSC
• Lindsay Harrison, M.A., LMHC
• Harrisrogers Home Health Organization
• Kaela Janelle Harron, DO
• Harry W Eichenbaum MD PA
• Brendon Hart, D.O
• Molly Marie Hart, PT, DPT

• Driver in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Driver in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.