Tanika Rae-Ann Harlis

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

PO3923 Issued in FL

Practice address

1680 SE Lyngate Dr Ste 201
Port Saint Lucie, FL 34952-4300

Phone

(772) 210-3339

Fax

(772) 404-7819

NPI assigned

Mar 26, 2015

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 FL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harlis Family Foot and Ankle LLCGroup PAC ID 9830596709, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elite Home Health Group Inc Home health agency, Boca Raton, FL, CCN 109710
• Trilogy Home Healthcare Home health agency, Port Saint Lucie, FL, CCN 109270
• St Lucie Medical Center Hospital, Port Saint Lucie, FL, CCN 100260
• Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
• HCA Florida Lawnwood Hospital Hospital, Fort Pierce, FL, CCN 100246

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Harlis Family Foot and Ankle LLC

  • Foot & Ankle Surgery Podiatrist
  • Port Saint Lucie, FL
  • NPI 1942974563

  Primary Podiatric Medicine

  Medicare reassignment Care Compare group NPD
• Harlis Family Foot and Ankle LLC

  • Foot & Ankle Surgery Podiatrist
  • Port Saint Lucie, FL
  • NPI 1730901216
  NPD
• Foot & Ankle Centers of Charlotte County

  • Primary Podiatric Medicine Podiatrist
  • Punta Gorda, FL
  • NPI 1841528445
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Altercare of Palm Beach County LLC

  • Home Health Agency
  • Port St Lucie, FL
  • NPI 1831365253
  Care Compare affiliation
• Elite Home Health Group LLC

  • Home Health Agency
  • Boca Raton, FL
  • NPI 1578954335
  Care Compare affiliation
• HCA Health Services of Florida, Inc.

  • General Acute Care Hospital
  • Port St Lucie, FL
  • NPI 1538115696
  Care Compare affiliation
• Lawnwood Medical Center Inc

  • General Acute Care Hospital
  • Fort Pierce, FL
  • NPI 1568409647
  Care Compare affiliation
• Martin Memorial Medical Center Inc

  • General Acute Care Hospital
  • Stuart, FL
  • NPI 1194790055
  Care Compare affiliation

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1801280862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 SE LYNGATE DR STE 201",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349524300",
            "telephone_number": "772-210-3339",
            "fax_number": "772-404-7819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 SE LYNGATE DR STE 201",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349524300",
            "telephone_number": "772-210-3339",
            "fax_number": "772-404-7819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLIS",
        "first_name": "TANIKA",
        "middle_name": "RAE-ANN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO3923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1801280862",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Happy Smiles of Port Saint Lucie
• Melissa Ann Hardee, BCABA
• Harlis Family Foot and Ankle LLC
• Harlis Family Foot and Ankle LLC
• Macalee Harlis Jr., D.P.M
• Kianna Harm
• Harmony Point Care Solutions LLC
• Edwin Troy Harper
• Francine Lynette Harper, MA
• Kameisha Lashaye Harrell

• Primary Podiatric Medicine Podiatrist in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Primary Podiatric Medicine Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.