Gabrielle Harris
Individual provider Active NPI Family Nurse Practitioner · Powderly, KY
NPI 1851903405 · NPPES record last updated Jul 18, 2023
Key facts
- NPI
- 1851903405
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3014700 (KY)
- Practice address
- 2025 W Everly Brothers Blvd Ste 1a
Powderly, KY 42367-5401 - Phone
- (270) 377-2600
- Fax
- (270) 377-2610
- NPI assigned
- Aug 17, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Owensboro Health Medical Group Inc
Practice addresses (Care Compare)
1301 Pleasant Valley Rd
Owensboro, KY 42303-9774
2025 W Everly Brothers Blvd
Suite 1a
Powderly, KY 42367-5401
Phone (270) 377-2600
2211 Mayfair Dr
Owensboro, KY 42301-4569
PO Box
Suite 23229
Owensboro, KY 42304-3229
Hospital & facility affiliations
- Owensboro Health Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200901002789 | KY | Practitioner - Nurse Practitioner | 4486071784 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Health Medical Group Inc | Family | Current |
Accepting new patients |
| Brock Medical, LLC | Current |
Accepting new patients | |
| Fast Pace Kentucky PLLC | Current |
Accepting new patients | |
| Owensboro Health Medical Group, Inc. | Family | Current |
Accepting new patients |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group, Inc | Family | Past | Accepting new patients |
Locations
1213 N Main St
Beaver Dam, KY 42320
Phone (270) 274-4771
145 E 2nd St
Calhoun, KY 42327
Phone (270) 273-3293
1200 Barret Blvd
Henderson, KY 42420
Phone (270) 844-8600
2955 Fort Campbell Blvd
Hopkinsville, KY 42240
Phone (270) 348-3677
1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055
510 Ruby Dr
Madisonville, KY 42431
Phone (270) 399-7757
1350 N Main St
Madisonville, KY 42431
Phone (270) 245-2554
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352
2025 W Everly Brothers Blvd
#1A
Powderly, KY 42367
2025 W Everly Brothers Blvd
Ste 1A
Powderly, KY 42367
Phone (270) 377-2600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3014700 | KY | Yes |
Addresses
Primary practice location
2025 W Everly Brothers Blvd Ste 1a
Powderly, KY 42367-5401
Mailing address
PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330
Other practice location 1
2955 Fort Campbell Blvd
Hopkinsville, KY 42240-4901
Phone (270) 632-1548
Other practice location 2
510 Ruby Dr
Madisonville, KY 42431-2168
Phone (270) 399-7900
Other practice location 3
1200 Barret Blvd
Henderson, KY 42420-4950
Phone (270) 844-8600
Other practice location 4
1213 N Main St
Beaver Dam, KY 42320-8955
Phone (270) 274-4771
Other practice location 5
145 E 2nd St
Calhoun, KY 42327-2205
Phone (270) 273-3293
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gharris115476@direct.owensborohealth.org | ||
| Direct Messaging Address | gharris115476@direct.owensborohealth.org | Direct | |
| Direct Messaging Address | gharris115476@direct.owensborohealth.org | Direct | |
| Direct Messaging Address | gharris115476@direct.owensborohealth.org | Direct | |
| Direct Messaging Address | gharris115476@direct.owensborohealth.org | Direct |
Other providers in Powderly, KY
- Ashley L Gabbard
- Mitzi Nicole Gardner
- Gary D Givens
- Brittany Nicole Grega
- Amy Lynn Hale
- Heloise D Westbrook MD PC
- Kelly Henson
- April Hollis
- Ashley J Houchin
- Macy Howard
All providers in Powderly, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.