Candy L Harris

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

4017 North Ave Apt 1
Richmond, VA 23222-1149

Phone

(804) 401-2887

NPI assigned

Nov 11, 2020

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

Other identifiers 1

Other names 1

• Candy L Harris Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1760084073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 NORTH AVE APT 1",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232221149",
            "telephone_number": "804-401-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4017 NORTH AVE APT 1",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232221149",
            "telephone_number": "804-401-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CANDY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIFE COACH",
            "identifier": "30009765",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDY",
            "last_name": "HARRIS",
            "middle_name": "L",
            "credential": "CODING SPECIALIST",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Asia Harris
• Augustine Nicole Harris
• Benjamin Scott Harris, M.D.
• Benjamin William Harris III, MA. LPC
• Brittany Harris
• Cierra S Harris, LPC
• Crystal J Harris, PHARMD
• Dameien Orlando Harris, RDH
• Deshawn Harris
• Diamond Harris, LMT

• Peer Specialist in Richmond, VA
• Providers in Richmond, VA by specialty
• Peer Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.