Active NPI
Samantha Beth Ann Harris
- Student in an Organized Health Care Education/Training Program
- Taylorsville, UT
National Provider Identifier
1922359355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 870499346
- Practice address
- 5691 S Redwood Rd
#16
Taylorsville, UT 84123-5420 - Phone
- (801) 265-3895
- NPI assigned
- Sep 25, 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 870499346 | UT | Primary |
Addresses
Primary practice location
5691 S Redwood Rd
#16
Taylorsville, UT 84123-5420
Mailing address
5691 S Redwood Rd
#16
Taylorsville, UT 84123-5420
Phone (801) 265-3895
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 |
|---|---|---|---|
| 870499346 | UT | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348531200000",
"number": "1922359355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5691 S REDWOOD RD",
"address_2": "#16",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841235420",
"telephone_number": "801-265-3895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5691 S REDWOOD RD",
"address_2": "#16",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841235420",
"telephone_number": "801-265-3895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "SAMANTHA",
"middle_name": "BETH ANN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-25",
"last_updated": "2012-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "UT",
"license": "870499346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taylorsville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.