Brenda Harris

Primary specialty

HomemakerTaxonomy code 376J00000X

License

376J00000X Issued in MN

Practice address

2225 Ilion Ave N
Minneapolis, MN 55411-1921

Phone

(612) 521-9066

NPI assigned

Apr 5, 2016

Last updated

Apr 20, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Bridgeway Home Healthcare Ser

  • Home Health Agency
  • Minneapolis, MN
  • NPI 1801341797
  NPD (past) Authorized official

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1891159943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 ILION AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554111921",
            "telephone_number": "612-521-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 ILION AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554111921",
            "telephone_number": "612-521-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "BRENDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "MN",
            "license": "376J00000X",
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MN",
            "license": "374U00000X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Natasha Harrington, DNP APRN CPNP
• Caroline Harrington, NCTMB
• Jenna Rose Harrington, OT
• Jessica A Harrington
• Ashley Harris
• Brenda J Harris, MD
• Carrie Ann-Brecto Harris
• Catharine C Harris, MD
• Desjalea Harris
• Dominic Y Harris

• Homemaker in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Homemaker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.