Active NPI
Sandra Rae Harris, L.M.P.
- Legal Medicine
- Des Moines, WA
National Provider Identifier
1902978034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- MA00012501
- Practice address
- 24223 9TH Ave S
Des Moines, WA 98198-3881 - Phone
- (206) 878-2872
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Legal Medicine | 173000000X | MA00012501 | WA | Primary |
Addresses
Primary practice location
24223 9TH Ave S
Des Moines, WA 98198-3881
Mailing address
24223 9TH Ave S
Des Moines, WA 98198-3881
Phone (206) 878-2872
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA00012501 | Other | WA | STATE LICENSE |
| 6019476590010001 | Other | WA | UBI NUMBER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00012501 | WA | MD | Legal Medicine |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280880000000",
"number": "1902978034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24223 9TH AVE S",
"city": "DES MOINES",
"state": "WA",
"postal_code": "981983881",
"telephone_number": "206-878-2872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24223 9TH AVE S",
"city": "DES MOINES",
"state": "WA",
"postal_code": "981983881",
"telephone_number": "206-878-2872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "SANDRA",
"middle_name": "RAE",
"credential": "L.M.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2010-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "WA",
"license": "MA00012501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "MA00012501",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBI NUMBER",
"identifier": "6019476590010001",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.