Jennifer Nicole Harb, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME138324 Issued in FL

Practice address

2441 Oak Myrtle LN Ste 101
Wesley Chapel, FL 33544-6334

Phone

(813) 406-4835

Fax

(813) 994-4835

NPI assigned

Apr 23, 2015

Last updated

Jul 17, 2023By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of South Florida College of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brandon Dermatology P aGroup PAC ID 3779658786, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EICAAA

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.

• Brandon Dermatology P a

  • Dermatology Physician
  • Brandon, FL
  • NPI 1760504682
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1760879159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 OAK MYRTLE LN STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446334",
            "telephone_number": "813-406-4835",
            "fax_number": "813-994-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 OAK MYRTLE LN STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446334",
            "telephone_number": "813-406-4835",
            "fax_number": "813-994-4835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7040 Land O'Lakes Blvd., Ste 101",
            "address_purpose": "LOCATION",
            "city": "Land O'Lakes",
            "state": "FL",
            "postal_code": "346383463",
            "country_code": "US",
            "telephone_number": "813-406-4835",
            "fax_number": "813-994-4835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3610 Galileo Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Trinity",
            "state": "FL",
            "postal_code": "346551794",
            "country_code": "US",
            "telephone_number": "813-406-4835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARB",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME138324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jharb@360dermatology.emadirec.md",
            "affiliation": "N",
            "endpointDescription": "EMA by Modernizing medicine software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2441 Oak Myrtle Ln Ste 101",
            "city": "Wesley Chapel",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335446334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christine Hankerson, RN
• Mary Lynn Hanley, ARNP
• Demyana Hanna, DMD, MS
• Marie Sophia Hanna, MD
• James Jordan Hanshew
• Melissa C Hardin, PA-C
• Lavonda Moore Hargrove
• Carol Christine Harrington, LPCMH
• Alonna W Harris, DNP, APRN, FNP-BC
• Bethany Luanne Harris, PHD

• Dermatology Physician in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.