Jennifer Brooke Harris, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

3007292 Issued in KY

Practice address

225 Medical Center Dr Ste 405
Paducah, KY 42003-7914

Phone

(270) 441-4750

Fax

(270) 441-4770

NPI assigned

Jan 16, 2012

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY, IL2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Mercer University School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tas of Kentucky LLCGroup PAC ID 3274856232, 8 clinicians

Tas of Illinois LLCGroup PAC ID 3779883319, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jackson Purchase Medical Center Hospital, Mayfield, KY, CCN 180116

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Tas of Kentucky LLC

  • Anesthesiology Physician
  • Mayfield, KY
  • NPI 1255735346

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Tas of Illinois, LLC

  • Certified Registered Nurse Anesthetist
  • Metropolis, IL
  • NPI 1548636418

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pinelake Regional Hospital LLC

  • Rural Acute Care Hospital
  • Mayfield, KY
  • NPI 1891892741
  Care Compare affiliation

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

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1902177496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DR STE 405",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037914",
            "telephone_number": "270-441-4750",
            "fax_number": "270-441-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DR STE 405",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037914",
            "telephone_number": "270-441-4750",
            "fax_number": "270-441-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JENNIFER",
        "middle_name": "BROOKE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-16",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3007292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100196050",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry Harrell, PHARMACIST
• Lori Harris-Greene, MS, CCC-SLP
• Amalia Maria Harris, MAED., SCLIDP
• Amanda Harris, LCSW
• James Ian Harris
• Leaslie Rowshell Harris
• Mary Nanette Harris
• Patrick T Harris, PHD.
• Robbie James Harris III
• Stacey Lynn Harris

• Certified Registered Nurse Anesthetist in Paducah, KY
• Providers in Paducah, KY by specialty
• Certified Registered Nurse Anesthetist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.