KC Harrison, BSN, RN, MS, CSP-S

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

139928 Issued in TN

Practice address

1713 Lockett PL
Memphis, TN 38104-3923

Phone

(901) 372-0710

NPI assigned

Sep 1, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Master of Science, Registered Nurse

State licenses

Practice roles

Locations

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.

• Experiential Healing Center

  • Mental Health Counselor
  • Memphis, TN
  • NPI 1558084780
  NPD

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1801672274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 LOCKETT PL",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043923",
            "telephone_number": "901-372-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 LOCKETT PL",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043923",
            "telephone_number": "901-372-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "KC",
        "credential": "BSN, RN, MS, CSP-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-01",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TN",
            "license": "139928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Harris, M.D
• Harrison Rehab & Wellness Healthcare Agency, LLC
• Ashley Verk Harrison, FNP
• Hunter Reed Harrison, MD
• Kaylee Blyss Harrison
• Rachel E. Harrison, MD
• Tamera Chanae Harrison, MS,PT
• Yancey Patricia Harrison, DO
• Carol Lynn Harriss, RN
• Laprecious Liberty Nadarah Harrold, MD

• Psychiatric/Mental Health Registered Nurse in Memphis, TN
• Providers in Memphis, TN by specialty
• Psychiatric/Mental Health Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.