Active NPI
Carla Diane Harris, CERTIFIED NURSE PRAC
- Family Nurse Practitioner
- Corsicana, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 037611322
- Practice address
- 3201 Corsicana Crossings Blvd Ste 101
Corsicana, TX 75109-9302 - Phone
- (903) 872-6065
- Fax
- (903) 872-2975
- NPI assigned
- Aug 11, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R59688 | NM | |
| Primary Care Nurse Practitioner | 363LP2300X | AP112068 | TX | |
| Family Nurse Practitioner | 363LF0000X | 037611322 | TX | Primary |
Addresses
Primary practice location
3201 Corsicana Crossings Blvd Ste 101
Corsicana, TX 75109-9302
Mailing address
3201 Corsicana Crossings Blvd Ste 101
Corsicana, TX 75109-9302
Phone (903) 872-6065
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27906728 | Medicaid | NM |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | carla.harris.1@1902.direct.athenahealth.com | ||
| Direct Messaging Address | carla.harris.1@1902.direct.athenahealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
108 N Robb St
Trinity, TX 75862-7602
Phone (409) 594-7632
1602 Rock Prairie Rd
College Station, TX 77845-0001
Hospital & facility affiliations
- Centerwell Home Health
- Navarro Regional Hospital
- Baylor Scott & White Medical Center- Waxahachie
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.18 of 100
- Quality
- 71.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R59688 | NM | MD | Family Nurse Practitioner |
| 037611322 | TX | MD | Family Nurse Practitioner |
| AP112068 | TX | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Employee Assistance Program Inc | Current | Accepting new patients | |
| Navarro Hospital LP | Current | Accepting new patients | |
| Regional Employee Assistance Program Inc | Current | Accepting new patients | |
| Regional Employee Assistance Program Inc | Current | Accepting new patients | |
| Navarro Hospital LP | Current | Accepting new patients |
Locations
301 Hospital Dr
#150
Corsicana, TX 75110
Phone (903) 641-4800
3201 Corsicana Crossings Blvd
#101
Corsicana, TX 75109
3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800
3201 Corsicana Crossings Blvd
Ste 101
Corsicana, TX 75109
Phone (903) 872-6065
Interoperability endpoints
- carla.harris.2@1902.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Corsicana, TX
- NPI 1649232984
-
- Family Medicine Physician
- Corsicana, TX
- NPI 1831640747
-
- Pediatrics Physician
- Corsicana, TX
- NPI 1851842736
-
- Cardiovascular Disease Physician
- Abilene, TX
- NPI 1073575585
-
- Internal Medicine Physician
- Victoria, TX
- NPI 1215999511
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waxahachie, TX
- NPI 1265430177
-
- Home Health Agency
- Temple, TX
- NPI 1346247442
-
- General Acute Care Hospital
- Corsicana, TX
- NPI 1144274226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1801807136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 CORSICANA CROSSINGS BLVD STE 101",
"city": "CORSICANA",
"state": "TX",
"postal_code": "751099302",
"telephone_number": "903-872-6065",
"fax_number": "903-872-2975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 CORSICANA CROSSINGS BLVD STE 101",
"city": "CORSICANA",
"state": "TX",
"postal_code": "751099302",
"telephone_number": "903-872-6065",
"fax_number": "903-872-2975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "CARLA",
"middle_name": "DIANE",
"name_prefix": "Ms.",
"credential": "CERTIFIED NURSE PRAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "R59688",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TX",
"license": "AP112068",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "037611322",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "27906728",
"state": "NM"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "carla.harris.1@1902.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "3201 Corsicana Crossings Blvd Ste 101",
"city": "Corsicana",
"state": "TX",
"country_code": "US",
"postal_code": "751099302",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "carla.harris.1@1902.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3201 Corsicana Crossings Blvd Ste 101",
"city": "Corsicana",
"state": "TX",
"country_code": "US",
"postal_code": "751099302",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Corsicana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.