Jennifer Lee Harris, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

280889 Issued in MA

Practice address

454 Chauncy St
Mansfield, MA 02048-1110

Phone

(508) 339-9944

Fax

(508) 452-3882

NPI assigned

Aug 23, 2011

Last updated

Jan 13, 2015By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: harris.jennifer.nwfk@direct.partners.masshiway.net

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.

• Pediatric Associates of Norwood and Franklin, PC

  • Pediatrics Physician
  • Norwood, MA
  • NPI 1689730855
  NPD

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1871873844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 CHAUNCY ST",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481110",
            "telephone_number": "508-339-9944",
            "fax_number": "508-452-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 CHAUNCY ST",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481110",
            "telephone_number": "508-339-9944",
            "fax_number": "508-452-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "280889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Masud Habibullah, MD
• Hannah Haleudeth, CCC-SLP
• Carol Anne Hamilton-Dodd, MA, OTR/L
• Howaida S Hanna
• Danielle Haradon
• Te-Ana Harris
• Harvey L Novack DMD PC
• Hayden Optometric Inc
• Joel B Hayden, OD
• Kevin Hayden, MSW

• Pediatric Nurse Practitioner in Mansfield, MA
• Providers in Mansfield, MA by specialty
• Pediatric Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.