Active NPI
Ashlee Kristine Harrah, PA
- Physician Assistant
- Sacramento, CA
National Provider Identifier
1902151269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA22384
- Practice address
- 2725 Capitol Ave
Suite 302
Sacramento, CA 95816-6004 - Phone
- (916) 262-9440
- Fax
- (916) 262-9445
- NPI assigned
- Jul 23, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA22384 | CA | Primary |
Addresses
Primary practice location
2725 Capitol Ave
Suite 302
Sacramento, CA 95816-6004
Mailing address
1 Quality Dr
Vacaville, CA 95688-9494
Phone (800) 470-0071
Other names 1
- Ashlee Kristine Johnson
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA22384 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641859200000",
"number": "1902151269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 QUALITY DR",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956889494",
"telephone_number": "800-470-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2725 CAPITOL AVE",
"address_2": "SUITE 302",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958166004",
"telephone_number": "916-262-9440",
"fax_number": "916-262-9445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRAH",
"first_name": "ASHLEE",
"middle_name": "KRISTINE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-23",
"last_updated": "2022-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA22384",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "1 Quality Dr",
"city": "Vacaville",
"state": "CA",
"country_code": "US",
"postal_code": "956889494",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ASHLEE",
"last_name": "JOHNSON",
"middle_name": "KRISTINE",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.