Bernice Elizabeth Harris, DI

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

383845676 Issued in KY

Practice address

5875 Meadow Creek Rd
Rockholds, KY 40759-9791

Phone

(606) 404-0091

Fax

(606) 539-9489

NPI assigned

Oct 17, 2007

Last updated

Sep 26, 2016By the provider in NPPES

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 names 1

• Beth Harris Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1841489689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5875 MEADOW CREEK RD",
            "city": "ROCKHOLDS",
            "state": "KY",
            "postal_code": "407599791",
            "telephone_number": "606-404-0091",
            "fax_number": "606-539-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 MEADOW CREEK RD",
            "city": "ROCKHOLDS",
            "state": "KY",
            "postal_code": "407599791",
            "telephone_number": "606-404-0091",
            "fax_number": "606-539-9489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "BERNICE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "DI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "KY",
            "license": "383845676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "HARRIS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Codi Scott Diamond
• Insight Health and Wellness LLC
• Meadow Creek Surgical PLC
• Rickey Lee Melton, CSA / KCSA
• Sandra J Nantz, PH.D.

• Developmental Therapist in Rockholds, KY
• Providers in Rockholds, KY by specialty
• Developmental Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.