Kimberly Dionne Harris, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5015487 Issued in NC

Practice address

414 E Main St
Durham, NC 27701-3720

Phone

(919) 560-7600

NPI assigned

Dec 15, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Durham County Criminal Justice Resource Center

  • Addiction (Substance Use Disorder) Counselor
  • Durham, NC
  • NPI 1609125699
  NPD (past)

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1821757006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 FIRESIDE LN",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "275228504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 E MAIN ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013720",
            "telephone_number": "919-560-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13304 Leesville Church Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276175206",
            "country_code": "US",
            "telephone_number": "919-845-5276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "379 Collins Rd",
            "address_purpose": "LOCATION",
            "city": "Manson",
            "state": "NC",
            "postal_code": "275539086",
            "country_code": "US",
            "telephone_number": "252-456-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 E Wendover Ave",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274056713",
            "country_code": "US",
            "telephone_number": "336-641-3946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KIMBERLY",
        "middle_name": "DIONNE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-15",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5015487",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NC",
            "license": "5015487",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Lynn Harris, PNPAC
• Havan Leigh Harris, MS, CCC-SLP
• James Harris, MD PHD
• Jessica Angela Harris, PA-C
• Joshua Harris
• Laura Harris
• Leah Harris
• Mary Frances Harris, CRNA
• Matt Harris
• Mildred Harris

• Nurse Practitioner in Durham, NC
• Providers in Durham, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.