Active NPI
Kelly Harris
- Other Technician
- Redford, MI
National Provider Identifier
1801331715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- H620465067432
- Practice address
- 9266 Louis
Redford, MI 48239-1732 - Phone
- (313) 318-3223
- NPI assigned
- Jan 1, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | H620465067432 | MI | Primary |
Addresses
Primary practice location
9266 Louis
Redford, MI 48239-1732
Mailing address
9266 Louis
Detroit, MI 48239-1732
Phone (313) 318-3223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H620465067432 | MI | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483228800000",
"number": "1801331715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9266 LOUIS",
"city": "DETROIT",
"state": "MI",
"postal_code": "482391732",
"telephone_number": "313-318-3223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9266 LOUIS",
"city": "REDFORD",
"state": "MI",
"postal_code": "482391732",
"telephone_number": "313-318-3223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-01",
"last_updated": "2017-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "MI",
"license": "H620465067432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.