Individual provider Active NPI

Amanda Nicole Harris, FNP-BC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • San Francisco, CA
National Provider Identifier
1871199547
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
95015977 Issued in CA
Practice address
550 Bryant St Ste 1a
San Francisco, CA 94107-1217
Phone
(415) 513-1222
Fax
(415) 777-1087
NPI assigned
Dec 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95015977 CA
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 95015977 CA Primary

Addresses

Primary practice location

550 Bryant St Ste 1a
San Francisco, CA 94107-1217

Mailing address

550 Bryant St Ste 1a
San Francisco, CA 94107-1217
Phone (415) 513-1222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210210003048 CA Practitioner - Nurse Practitioner 5698189546 Reassigns benefits to 1 organization
I20260320003317 NV Practitioner - Nurse Practitioner 5698189546 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5 Hutton Centre Dr
Suite 950
Santa Ana, CA 92707-8786

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95015977CAMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J M Geiss DO Apc CurrentSince Dec 11, 2024 Accepting new patients
Hospice of Humboldt Inc Hospice and Palliative Medicine CurrentSince Nov 1, 2022 Accepting new patients
California PHS PC CurrentSince Dec 11, 2024 Accepting new patients
Health Link Hospice Services Hospice and Palliative Medicine CurrentSince Mar 24, 2025 Accepting new patients

Locations

1420 E Palomar St
Chula Vista, CA 91913

3327 Timber Fall Ct
Eureka, CA 95503
Phone (707) 445-8443

1900 Coffee Rd
Modesto, CA 95355
Phone (209) 491-0904

520 Superior Ave
Ste 255
Newport Beach, CA 92663
Phone (949) 720-9266

2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271

550 Bryant St
Ste 1A
San Francisco, CA 94107
Phone (415) 513-1222

5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663

28650 Newhall Ranch Rd
Santa Clarita, CA 91355
Phone (661) 347-0051

1811 S Rainbow Blvd
Ste 108
Las Vegas, NV 89146
Phone (702) 858-7087

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: amanda.harris@299395540647940.direct.elationemr.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1871199547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 BRYANT ST STE 1A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941071217",
            "telephone_number": "415-513-1222",
            "fax_number": "415-777-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 BRYANT ST STE 1A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941071217",
            "telephone_number": "415-513-1222",
            "fax_number": "415-777-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95015977",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "95015977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.