Tina Quentella Harris, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN00000012185 Issued in TN

Practice address

605 Glenwood Dr
Suite 200
Chattanooga, TN 37404-1108

Phone

(423) 698-1844

Fax

(423) 624-2226

NPI assigned

Aug 20, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Liver and Gastroenterology Center

  • Gastroenterology Physician
  • Chattanooga, TN
  • NPI 1386836070
  NPD
• J & a Enterprises Inc

  • Gastroenterology Physician
  • Chattanooga, TN
  • NPI 1295771095
  NPD (past)
• Tennessee Oncology PLLC

  • Radiation Oncology Clinic/Center
  • Franklin, TN
  • NPI 1942909585
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1932214889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440261",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 GLENWOOD DR",
            "address_2": "SUITE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041108",
            "telephone_number": "423-698-1844",
            "fax_number": "423-624-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TINA",
        "middle_name": "QUENTELLA",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN00000012185",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN161065",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3644034",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q017903",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Morgan Harris, NP-C
• Stephanie Harris, COTA
• Tabitha L Harris, PT
• Tammy Harris, R.N.
• Tasha Nicole Harris, RN
• William Burton Harris, D.O.
• Bradley Harrison
• Janet Lisa Harrison, LPC-MHSP
• Dorinda Kay Harriss, FNP
• Karoline Harshbarger

• Nurse Practitioner in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.