Active NPI
Catharine J. Harris, M.D.
- Pediatrics Physician
- Columbia, MO
National Provider Identifier
1861443699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2010020886
- Practice address
- 404 N Keene St Ste 101
Columbia, MO 65201-6626 - Phone
- (573) 882-6921
- Fax
- (573) 884-4105
- NPI assigned
- May 15, 2006
- Last updated
- Mar 16, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036057118 | IL | |
| Pediatrics Physician | 208000000X | 2010020886 | MO | Primary |
Addresses
Primary practice location
404 N Keene St Ste 101
Columbia, MO 65201-6626
Mailing address
PO Box 843966
Kansas City, MO 64184-3966
Phone (573) 884-3300
Other practice location 1
402 N Keene St
Ste 101
Columbia, MO 65201-6986
Phone (573) 882-6921
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036057118 | Medicaid | IL |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010020886 | MO | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521158400000",
"number": "1861443699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 843966",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641843966",
"telephone_number": "573-884-3300",
"fax_number": "573-884-0943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 N KEENE ST STE 101",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652016626",
"telephone_number": "573-882-6921",
"fax_number": "573-884-4105"
}
],
"practiceLocations": [
{
"address_1": "402 N Keene St",
"address_2": "Ste 101",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652016986",
"country_code": "US",
"telephone_number": "573-882-6921",
"fax_number": "573-882-1154",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "CATHARINE",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-15",
"last_updated": "2018-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036057118",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2010020886",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036057118",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.