Active NPI
Bryce Harris, RN
- Cardiac Rehabilitation Registered Nurse
- Farmington, UT
National Provider Identifier
1811618242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiac Rehabilitation Registered Nurse
- License
- 12872652-3102
- Practice address
- 858 Northridge Rd
Farmington, UT 84025-4118 - Phone
- (480) 489-4360
- NPI assigned
- Sep 5, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Cardiac Rehabilitation Registered Nurse | 163WC3500X | 12872652-3102 | UT | Primary |
Addresses
Primary practice location
858 Northridge Rd
Farmington, UT 84025-4118
Mailing address
1305 N Martin Ave
Tucson, AZ 85721-0001
Phone (520) 656-6154
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12872652-3102 | UT | MD | Cardiac Rehabilitation Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1811618242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 N MARTIN AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857210001",
"telephone_number": "520-656-6154",
"fax_number": "520-626-6426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "858 NORTHRIDGE RD",
"city": "FARMINGTON",
"state": "UT",
"postal_code": "840254118",
"telephone_number": "480-489-4360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "BRYCE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-05",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "163WC3500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Cardiac Rehabilitation",
"state": "UT",
"license": "12872652-3102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.