Individual provider Active NPI

Patti A Harris, CNM

  • Obstetrics & Gynecology Nurse Practitioner
  • Athens, TN
National Provider Identifier
1811976392
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
RN0000075866 Issued in TN
Practice address
817 Cook Dr
Athens, TN 37303-3485
Phone
(423) 745-3394
Fax
(423) 745-3396
NPI assigned
Jan 12, 2006
Last updated
Jun 10, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X RN0000075866 TN Primary

Addresses

Primary practice location

817 Cook Dr
Athens, TN 37303-3485

Mailing address

817 Cook Dr
Athens, TN 37303-3485
Phone (423) 745-3394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110321000008 TN Practitioner - Certified Nurse Midwife (CNM) 4284813122 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Womens Clinic, P.C. CurrentSince May 23, 2010 Accepting new patients
Family Medicine West PLLC Past Accepting new patients

Locations

817 Cook Dr
Athens, TN 37303
Phone (423) 745-3394

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276128000000",
    "number": "1811976392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 COOK DR",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033485",
            "telephone_number": "423-745-3394",
            "fax_number": "423-745-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 COOK DR",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033485",
            "telephone_number": "423-745-3394",
            "fax_number": "423-745-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "PATTI",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2010-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "TN",
            "license": "RN0000075866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TN

Sources for this page

Verify at the official NPI Registry.