Theresa Lynn Harris, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1236 Issued in LA

Practice address

722 Phosphor Ave
Metairie, LA 70005-2727

Phone

(504) 835-3736

Fax

(504) 832-8149

NPI assigned

Mar 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Harris Sports and Family Chiropractic, Inc.

  • Chiropractor
  • Metairie, LA
  • NPI 1730471178
  Medicare reassignment NPD Authorized official
• Vasconcellos Chiropractic

  • Chiropractor
  • Metairie, LA
  • NPI 1710178579
  NPD (past) Authorized official

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740249903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 PHOSPHOR AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700052727",
            "telephone_number": "504-835-3736",
            "fax_number": "504-832-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 PHOSPHOR AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700052727",
            "telephone_number": "504-835-3736",
            "fax_number": "504-832-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "THERESA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0272105",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7208303",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "721516927-B",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "G1381",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naomi Chantea Harris
• Niyah M Harris
• Rashell Harris, B.A.
• Shanelle Harris
• Tea Harris
• Tiyanna Harris
• Tosha Benard Harris
• Ebonea Harrison
• Ebonee Harrison
• Eleanor Harrison, PLPC

• Chiropractor in Metairie, LA
• Providers in Metairie, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.