Active NPI
Kelly Diane Harper, PNP
- Pediatric Nurse Practitioner
- Paris, TX
National Provider Identifier
1851577902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 573273
- Practice address
- 3150 Clarksville St
Suite 100
Paris, TX 75460-8076 - Phone
- (903) 782-9206
- Fax
- (903) 783-7367
- NPI assigned
- Jan 18, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 573273 | TX | Primary |
Addresses
Primary practice location
3150 Clarksville St
Suite 100
Paris, TX 75460-8076
Mailing address
3150 Clarksville St
Suite 100
Paris, TX 75460-8076
Phone (903) 782-9206
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 573273 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Special Health Resources for Texas, Incorporated | Past | Accepting new patients | |
| Special Health Resources for Texas, Incorporated | Past | Accepting new patients |
Interoperability endpoints
- kelly.harper@wchcl.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Longview, TX
- NPI 1043209919
-
- Federally Qualified Health Center (FQHC)
- Paris, TX
- NPI 1346791258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201564800000",
"number": "1851577902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3150 CLARKSVILLE ST",
"address_2": "SUITE 100",
"city": "PARIS",
"state": "TX",
"postal_code": "754608076",
"telephone_number": "903-782-9206",
"fax_number": "903-783-7367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 CLARKSVILLE ST",
"address_2": "SUITE 100",
"city": "PARIS",
"state": "TX",
"postal_code": "754608076",
"telephone_number": "903-782-9206",
"fax_number": "903-783-7367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARPER",
"first_name": "KELLY",
"middle_name": "DIANE",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-18",
"last_updated": "2008-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "573273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paris, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.