Tanna Lou Harris, M.ED.,C.C.C.,SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA4318 Issued in FL

Practice address

650 Douglas Ave
Suite 1030
Altamonte Springs, FL 32714-2593

Phone

(407) 617-1323

Fax

(407) 788-1030

NPI assigned

May 19, 2007

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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 Rehab Services, Inc.

  • Speech-Language Pathologist
  • Altamonte Springs, FL
  • NPI 1699902833
  NPD (past) Authorized official

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

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1790993905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 DOUGLAS AVE",
            "address_2": "SUITE 1030",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142593",
            "telephone_number": "407-617-1323",
            "fax_number": "407-788-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 DOUGLAS AVE",
            "address_2": "SUITE 1030",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142593",
            "telephone_number": "407-617-1323",
            "fax_number": "407-788-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TANNA",
        "middle_name": "LOU",
        "name_prefix": "Ms.",
        "credential": "M.ED.,C.C.C.,SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA4318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "887044600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH PATHOLOGIST",
            "identifier": "S2323",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurie Lenee Harrell, DMD
• Joyce Harris Lewis
• Harris Rehab Services, Inc.
• Anna Harris
• Brian E Harris, MD
• Brandy L Harrison, LMT
• Kendra Michelle Harrison, APRN
• Colleen Hart
• Todd Hartley, M.D.
• Randolf R Harvey, CRNA

• Speech-Language Pathologist in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.