Judith Kay Harris

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

44009 Issued in KS

Practice address

7348 W 21St St N
Suite 107
Wichita, KS 67205-1765

Phone

(316) 721-4828

Fax

(316) 721-4844

NPI assigned

Aug 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Judith Kay Tucker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Harris Healthcare LLC

  • Nurse Practitioner
  • Wichita, KS
  • NPI 1679687412
  NPD (past) Authorized official
• Hagan & Associates, LLC

  • Nurse Practitioner
  • Wichita, KS
  • NPI 1386715571
  NPD (past)
• Samantha Runnion, Lscsw, LLC

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1689027070
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871504076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7348 W 21ST ST N",
            "address_2": "SUITE 107",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051765",
            "telephone_number": "316-721-4828",
            "fax_number": "316-721-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7348 W 21ST ST N",
            "address_2": "SUITE 107",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051765",
            "telephone_number": "316-721-4828",
            "fax_number": "316-721-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JUDITH",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KS",
            "license": "44009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100363930C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "161002",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "500021112",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH SYSTEMS",
            "identifier": "13309",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "TUCKER",
            "middle_name": "KAY",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kaytlin Harris-Martin
• Chenelle Angelique Harris, CPT
• Christopher Michael Harris, DMD
• Djuna M Harris
• Jonathan Y Harris, PT
• Kari Rene Harris, MD
• Kyle Lewis Harris, MD
• Lisa M Harris, P.A.C.
• Matthew David Harris, DO
• Michelle Layne Harris, LSCSW, LCAC

• Adult Health Nurse Practitioner in Wichita, KS
• Providers in Wichita, KS by specialty
• Adult Health Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.