Individual provider Active NPI

Kathryn Harris, CRNP

  • Pediatric Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1730596487
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
85495 Issued in NM
Practice address
16 Idella Ave
Wilmington, DE 19804-1661
Phone
(302) 651-2732
NPI assigned
Jul 15, 2014
Last updated
May 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 85495 NM Primary

Addresses

Primary practice location

16 Idella Ave
Wilmington, DE 19804-1661

Mailing address

16 Idella Ave
Wilmington, DE 19804-1661
Phone (302) 651-2732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180925000017 MD Practitioner - Nurse Practitioner 8123379500 Reassigns benefits to 1 organization
I20180925000038 DC Practitioner - Nurse Practitioner 8123379500 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
85495NMMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians, Inc CurrentSince Sep 4, 2018 Accepting new patients
Johns Hopkins Community Physicians CurrentSince Sep 4, 2018 Accepting new patients
Christiana Care Health Services Inc CurrentSince Feb 11, 2024 Accepting new patients
Johns Hopkins Community Physicians, Inc Current Accepting new patients
Johns Hopkins Community Physicians, Inc CurrentSince Sep 4, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Christiana Care Health Services Inc PastSince Feb 11, 2024 Accepting new patients

Locations

16 Idella Ave
Wilmington, DE 19804
Phone (302) 314-5680

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1730596487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 IDELLA AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198041661",
            "telephone_number": "302-651-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 IDELLA AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198041661",
            "telephone_number": "302-651-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KATHRYN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NM",
            "license": "85495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.