Active NPI
Mary E. Harris, CFNP
- Family Nurse Practitioner
- Bay St Louis, MS
National Provider Identifier
1861522807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R569488
- Practice address
- 149 Drinkwater Rd
Bay St Louis, MS 39520-1658 - Phone
- (228) 467-8676
- Fax
- (228) 467-8674
- NPI assigned
- Mar 7, 2007
- Last updated
- Jan 23, 2014
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R569488 | MS | Primary |
Addresses
Primary practice location
149 Drinkwater Rd
Bay St Louis, MS 39520-1658
Mailing address
149 Drinkwater Rd
Bay St Louis, MS 39520-1658
Phone (228) 467-8676
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 |
|---|---|---|---|
| R569488 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keith Van Meter & Associates | Past | Accepting new patients | |
| Ochsner Medical Center - Hancock LLC | Past | Accepting new patients | |
| Ochsner Medical Center - Hancock, LLC | Past | Accepting new patients | |
| Hancock Medical Health Services, Inc. | Past | Accepting new patients | |
| David F. Roberts, MD | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Diamondhead, MS
- NPI 1770620403
-
dba Hancock Medical Womens Services
- Specialist
- Diamondhead, MS
- NPI 1740623990
-
- Multi-Specialty Clinic/Center
- Bay St Louis, MS
- NPI 1093811051
-
dba Ochsner Medical Center - Hancock
- General Acute Care Hospital
- Bay Saint Louis, MS
- NPI 1588629968
-
dba Ochsner Health Center- East Picayune
- Rural Health Clinic/Center
- Picayune, MS
- NPI 1730786120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390435200000",
"number": "1861522807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 DRINKWATER RD",
"city": "BAY ST LOUIS",
"state": "MS",
"postal_code": "395201658",
"telephone_number": "228-467-8676",
"fax_number": "228-467-8674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 DRINKWATER RD",
"city": "BAY ST LOUIS",
"state": "MS",
"postal_code": "395201658",
"telephone_number": "228-467-8676",
"fax_number": "228-467-8674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "MARY",
"middle_name": "E.",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2014-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R569488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bay St Louis, MS
- Hancock Medical Health Services, Inc. (Hancock Medical Internal Med - Crowder)
- Hancock Medical Health Services, Inc. (Hancock Medical Surgery - Lee)
- Hancock Medical Health Services, Inc. (Hancock Medical Services)
- Hancock Medical Health Services, Inc. (Hancock Medical Health Services - HCSD)
- Hancock Womens Center PA
- Tessa Helsel, DO
- Staci Renee Hess, NP
- Steven Tyler Hill
- In Due Time Counseling Services, PLLC
- Janis E Jacobi, RD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.