Andrea L Harris, ARNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A-103867 Issued in IA

Practice address

800 5TH St
Sioux City, IA 51101-1317

Phone

(712) 234-2300

Fax

(712) 234-2398

NPI assigned

Sep 6, 2012

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Jackson Recovery Centers, Inc.

  • Substance Abuse Rehabilitation Facility
  • Sioux City, IA
  • NPI 1811994973

  IA

  Medicare reassignment Care Compare group
• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
  • NPI 1265402390
  NPD (past)
• Jackson Recovery Centers, Inc.

  • Children's Substance Abuse Rehabilitation Facility
  • Sioux City, IA
  • NPI 1770966491
  NPD (past)

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jackson Recovery Centers Inc 8 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1801145776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 W 4TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511033204",
            "telephone_number": "712-258-4578",
            "fax_number": "712-258-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 5TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011317",
            "telephone_number": "712-234-2300",
            "fax_number": "712-234-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ANDREA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "ARNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A-103867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A-103867",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael D. Harder, D.O.
• Kelsey Jean Hardnett
• Ann Hardy, OTRL
• Beth Elaine Harms, LISW
• Amber Harris
• Daniel Kenneth Harris, LISW
• Jonte Nicole Harris, CNA
• Marah Hart, PHARMD
• Harvest Communities of Sioux City, Inc
• Abdul Abdullahi Hashim

• All providers in Sioux City, IA
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.