Desiree Ulalie Harry, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

420207 Issued in NY

Practice address

339 Martense St
1St FL
Brooklyn, NY 11226-4201

Phone

(718) 284-7265

NPI assigned

Aug 15, 2007

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

Other identifiers 1

Other names 1

• Desiree Glen Jr. Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193443200000",
    "number": "1902098718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 MARTENSE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264201",
            "telephone_number": "718-284-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 MARTENSE ST",
            "address_2": "1ST FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264201",
            "telephone_number": "718-284-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRY",
        "first_name": "DESIREE",
        "middle_name": "ULALIE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "420207",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "420207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02287429",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESIREE",
            "last_name": "GLEN",
            "suffix": "JR.",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Therma Harrison
• Shawntina Harrod, LMHC
• Sal Israel Harrosh, RPH
• Eion Harrow, MHC
• Beverley Harry
• Fred A Harry, PA
• Germaine Harry
• Joyce Millicent Harry X, LPN
• Venessa Audrey Harry, DPM
• Zia Zopha Harry, LMSW

• Home Health Registered Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Home Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.