Active NPI
Obeghaenre Ochuko Harris, FNP-C
- Psychiatric/Mental Health Nurse Practitioner
- Huntersville, NC
National Provider Identifier
1790480952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 5017977
- Practice address
- 10224 Hickorywood Hill Ave Ste 101a
Huntersville, NC 28078-3471 - Phone
- (862) 215-6126
- NPI assigned
- Apr 4, 2023
- Last updated
- Aug 5, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5017977 | NC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5017977 | NC | Primary |
Addresses
Primary practice location
10224 Hickorywood Hill Ave Ste 101a
Huntersville, NC 28078-3471
Mailing address
10224 Hickorywood Hill Ave Ste 101a
Huntersville, NC 28078-3471
Phone (862) 215-6126
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5017977 | NC | MD | Family Nurse Practitioner |
Interoperability endpoints
- obeghaenre.harris.1@3904.direct.athenahealth.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1790480952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10224 HICKORYWOOD HILL AVE STE 101A",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280783471",
"telephone_number": "862-215-6126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10224 HICKORYWOOD HILL AVE STE 101A",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280783471",
"telephone_number": "862-215-6126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "OBEGHAENRE",
"middle_name": "OCHUKO",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-04",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5017977",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "5017977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntersville, NC
- Erica Brooke Harris
- Gwendolyn Dione Harris, LPCA
- Jennifer Lepors Harris, NP
- Kelly Marie Harris, MA/ED.S, LPC, NCC
- Kira Harris, PHARMD
- Patricia Covington Harris, P.A.-C
- Christina Marie Harrison, AGNP-BC
- Scarlett Louise Harrison, MSW, LCSW
- Xavier Alfred Harrison, PHYSICIAN ASSISTANT
- Lori P Harrow, MA, LPC, NCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.