Active NPI
Jonathan Lee Harris, CRNA
- Certified Registered Nurse Anesthetist
- Dover, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0447722311
- Practice address
- 789 Central Ave
Dover, NH 03820-2526 - Phone
- (603) 742-5252
- NPI assigned
- Aug 11, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0447722311 | NH | Primary |
Addresses
Primary practice location
789 Central Ave
Dover, NH 03820-2526
Mailing address
3998 Fair Ridge Dr
Suite 300
Fairfax, VA 22033-2907
Phone (703) 295-9360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30342007 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, MA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040623000334 | NH | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2860477825 | Reassigns benefits to 4 organizations |
| I20140401001350 | MA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2860477825 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0447722311 | NH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia New Hampshire LLP | Current | Accepting new patients | |
| Apollo Medical Group of Wentworth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Stratham Anesthesia Associates PLLC | Current | Accepting new patients | |
| Portsmouth Anesthesia Associates PA | Current | Accepting new patients | |
| Gbaa Holdings, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Care Group PC | Past | Accepting new patients | |
| North American Partners in Anesthesia (Virginia), LLC | Past | Accepting new patients |
Locations
45 Discovery Way
#A
Acton, MA 01720
Phone (617) 936-7683
175 Worcester St
Wellesley Hls, MA 02481
Phone (617) 272-0004
120 W Center St
West Bridgewater, MA 02379
Phone (508) 230-8181
333 Bothwick Ave
Portsmouth, NH 03801
Phone (603) 433-4907
11 Whitehall Rd
Rochester, NH 03867
Phone (603) 330-7905
6 Works Way
Somersworth, NH 03878
Phone (603) 285-9273
4 West Rd
Ste B1
Stratham, NH 03885
Phone (603) 772-2076
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Somersworth, NH
- NPI 1831748185
NH, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Nashua, NH
- NPI 1306838701
NH
-
- Anesthesiology Physician
- Acton, MA
- NPI 1790299592
MA, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Manchester, NH
- NPI 1629074224
-
- Anesthesiology Physician
- Fairfax, VA
- NPI 1922031442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429833600000",
"number": "1821090754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3998 FAIR RIDGE DR",
"address_2": "SUITE 300",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332907",
"telephone_number": "703-295-9360",
"fax_number": "703-766-9725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "789 CENTRAL AVE",
"city": "DOVER",
"state": "NH",
"postal_code": "038202526",
"telephone_number": "603-742-5252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "JONATHAN",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2015-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NH",
"license": "0447722311",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30342007",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.