Active NPI
Lillian G. Harris, RN, BS
- Adult Psychiatric/Mental Health Registered Nurse
- Greensboro, NC
National Provider Identifier
1871721084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 214499
- Practice address
- 2007 Yanceyville St # 66
Suite 209
Greensboro, NC 27405-5000 - Phone
- (336) 691-1772
- Fax
- (336) 691-1772
- NPI assigned
- Jun 25, 2009
- 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 |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | |||
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 214499 | NC | Primary |
Addresses
Primary practice location
2007 Yanceyville St # 66
Suite 209
Greensboro, NC 27405-5000
Mailing address
4252 Harbor Ridge Dr
Greensboro, NC 27406-8576
Phone (336) 697-5470
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)
- Not enrolled
- Credentials
- Bachelor of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 214499 | NC | MD | Adult Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Stars Group LLC | Past | Accepting new patients | |
| All Stars Group, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Greensboro, NC
- NPI 1285772319
-
- Community/Behavioral Health Agency
- Greensboro, NC
- NPI 1518193572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245888000000",
"number": "1871721084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4252 HARBOR RIDGE DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274068576",
"telephone_number": "336-697-5470",
"fax_number": "336-697-5470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2007 YANCEYVILLE ST # 66",
"address_2": "SUITE 209",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274055000",
"telephone_number": "336-691-1772",
"fax_number": "336-691-1772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "LILLIAN",
"middle_name": "G.",
"name_prefix": "Mrs.",
"credential": "RN, BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-25",
"last_updated": "2009-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "NC",
"license": "214499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.