Katrina J Harris

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Practice address

2019 Crown Flair Dr
West Des Moines, IA 50265-3331

Phone

(402) 812-6676

NPI assigned

Nov 15, 2024

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

Practice roles

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.

• Moving Mountains Developmental Disability Services, LLC

  • Developmental Disabilities Clinic/Center
  • West Des Moines, IA
  • NPI 1013725605
  NPD Authorized official
• Moving Mountains Developmental Services, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Omaha, NE
  • NPI 1396634770
  NPD Authorized official

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1730904665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4595 N 190TH AVE",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680224685",
            "telephone_number": "402-812-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 CROWN FLAIR DR",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502653331",
            "telephone_number": "402-812-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KATRINA",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bree Kathleen Harken, PHARM.D.
• Harmonic Medical Group of Iowa, P.C.
• Michele Harms, RPH
• Paige Harnish
• Joyce Harpham, ARNP
• Christopher Davis Harsh, MS, COUNSELING
• Patricia L Hart, LISW
• Courtney Ann Hartberg, CRNA, RN
• Mackenzie Hartnett, DPT
• Megan Lynn Hasley, LISW

• Intellectual & Developmental Disabilities Psychologist in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Intellectual & Developmental Disabilities Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.