Jeffrey Peden Harris, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

0101025214 Issued in VA

Practice address

1440 Amherst Street
Winchester, VA 22601-3010

Phone

(540) 450-3339

Fax

(540) 450-3338

NPI assigned

Aug 11, 2006

Last updated

Sep 19, 2012By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: jharris115296@soc.inova.org

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1740291772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 AMHERST STREET",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013010",
            "telephone_number": "540-450-3339",
            "fax_number": "540-450-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 AMHERST STREET",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013010",
            "telephone_number": "540-450-3339",
            "fax_number": "540-450-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JEFFREY",
        "middle_name": "PEDEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101025214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740291772",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ericka Jeanne Harney
• Wesley Malik Harper
• Carol A Harris, LCSW
• Crystal Dawn Harris, FNP
• Gregory P Harris Sr., MD
• Misty Jean Harris
• Kimberly Harrison, LCSW
• David Kent Harry, MD
• Kimberly Hart, MA, NCC, LPC
• Benjamin Hartland, CRNA

• Nephrology Physician in Winchester, VA
• Providers in Winchester, VA by specialty
• Nephrology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.