Individual provider Active NPI

Lydia Harris, RN

  • Administrator Registered Nurse
  • Westerville, OH
National Provider Identifier
1851525679
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
RN.347120 Issued in OH
Practice address
3406 Manchester Way Dr
Westerville, OH 43081-8877
Phone
(317) 560-2809
Fax
(614) 468-2230
NPI assigned
May 7, 2009
Last updated
Apr 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X RN.347120 OH Primary

Addresses

Primary practice location

3406 Manchester Way Dr
Westerville, OH 43081-8877

Mailing address

3406 Manchester Way Dr
Westerville, OH 43081-8877
Phone (317) 560-2809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.347120OHMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
MPQH Healthcare Professionals,LLC Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1851525679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 MANCHESTER WAY DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818877",
            "telephone_number": "317-560-2809",
            "fax_number": "614-420-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3406 MANCHESTER WAY DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818877",
            "telephone_number": "317-560-2809",
            "fax_number": "614-468-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "LYDIA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-07",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "OH",
            "license": "RN.347120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; 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.