Teonna Harris

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

License

2837246 Issued in MI

Practice address

1502 Summit Oak CT Apt a
Henrico, VA 23228-6236

Phone

(269) 830-5751

NPI assigned

Jan 26, 2022

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

State licenses

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.

• Stat Lab Testing

  • Clinical Medical Laboratory
  • Henrico, VA
  • NPI 1841943834
  NPD Authorized official

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1841942224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 SUMMIT OAK CT APT A",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232286236",
            "telephone_number": "269-830-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 SUMMIT OAK CT APT A",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232286236",
            "telephone_number": "269-830-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TEONNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse's Aide",
            "state": "VA",
            "license": "1401199576",
            "primary": false
        },
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "MI",
            "license": "2837246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Harris, LCSW
• Eric Darmonique Harris
• Heather Marie Harris, LPC
• Julius Harris
• Michelle Harris
• Ammie Harrison
• Brandy Hart Knighton, LCSW
• Erin Hartig
• Roman T Haueis, DMD
• Lee Anne Hausler, PH.D.

• Clinical Laboratory Director (Non-physician) in Henrico, VA
• Providers in Henrico, VA by specialty
• Clinical Laboratory Director (Non-physician) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.