Lisa L Harrison, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5448 Issued in AK

Practice address

851 E Westpoint Dr
Suite 310
Wasilla, AK 99654-7191

Phone

(907) 373-9453

Fax

(907) 373-9457

NPI assigned

Aug 1, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Obstetrics/Gynecology

Education

University of Utah School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Wild Iris LLC

  dba Wild Iris Family Medicine and Maternity Care

  • Family Medicine Physician
  • Wasilla, AK
  • NPI 1003244211
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1821004383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 E WESTPOINT DR",
            "address_2": "SUITE 310",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547191",
            "telephone_number": "907-373-9453",
            "fax_number": "907-373-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 E WESTPOINT DR",
            "address_2": "SUITE 310",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547191",
            "telephone_number": "907-373-9453",
            "fax_number": "907-373-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "LISA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "5448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD3146",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa M Harris, O.D.
• Derrick Harris
• Gary Allan Harris
• Sergei Harris, MASSAGE THERAPIST
• Shannon Harris, CDCS
• Hart Psychiatry LLC
• April Nicole Hart, LPC
• Dan Hart, O.D.
• Randy Hart
• Jeremiah James Hartley, LMT

• Family Medicine Physician in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.

Verify at the official NPI Registry.