Tessie Tramaine Harris, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-100266 Issued in AL

Practice address

558 County Road 56
Vredenburgh, AL 36481

Phone

(334) 337-4787

NPI assigned

Jul 22, 2008

Last updated

May 19, 2011By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rural Health Medical Program, Inc

  dba Vredenburgh Health Center

  • Federally Qualified Health Center (FQHC)
  • Vredenburgh, AL
  • NPI 1104995208
  NPD (past)
• Rural Health Medical Program, Inc

  • Podiatrist
  • Selma, AL
  • NPI 1871458927
  NPD (past)
• The Little Clinic of Virginia, LLC

  • Nursing Facility/Intermediate Care Facility
  • Brentwood, TN
  • NPI 1538304225
  NPD (past)

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305763200000",
    "number": "1942465745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2213",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367022213",
            "telephone_number": "334-874-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 COUNTY ROAD 56",
            "city": "VREDENBURGH",
            "state": "AL",
            "postal_code": "36481",
            "telephone_number": "334-337-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TESSIE",
        "middle_name": "TRAMAINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2011-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-100266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126816",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rural Health Medical Program, Inc (Vredenburgh Health Center)

• Family Nurse Practitioner in Vredenburgh, AL
• Providers in Vredenburgh, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.