Debra Marie Harrison, CNA

Individual provider Active NPI Personal Care Attendant · Napoleon, ND

NPI 1871196246 · NPPES record last updated Nov 18, 2020

Key facts

NPI
1871196246
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
License
2382 (ND)
Practice address
513 Broadway
Napoleon, ND 58561-7440
Phone
(701) 754-2291
NPI assigned
Nov 18, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2382NDMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X 2382 ND Yes

Addresses

Primary practice location

513 Broadway
Napoleon, ND 58561-7440

Mailing address

PO Box 171
Napoleon, ND 58561-0171
Phone (701) 425-2540

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 18, 2020.

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1871196246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 171",
            "city": "NAPOLEON",
            "state": "ND",
            "postal_code": "585610171",
            "telephone_number": "701-425-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 BROADWAY",
            "city": "NAPOLEON",
            "state": "ND",
            "postal_code": "585617440",
            "telephone_number": "701-754-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "DEBRA",
        "middle_name": "MARIE",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "ND",
            "license": "2382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napoleon, ND

All providers in Napoleon, ND · Personal Care Attendant in North Dakota

Sources for this page

Verify at the official NPI Registry.