Felicia Harris

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

LC0665509 Issued in MO

Practice address

1923 N Hanley Rd
Saint Louis, MO 63114-6309

Phone

(314) 504-6466

NPI assigned

Apr 14, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• FDB Hair Unlimited LLC Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1942654074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 SAINT VINCENT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631042028",
            "telephone_number": "314-504-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 N HANLEY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631146309",
            "telephone_number": "314-504-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "FELICIA",
        "name_prefix": "Prof.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "LC0665509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FDB HAIR",
            "last_name": "UNLIMITED LLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Destiny Dionne Harris
• Dorothy Harris, LPN
• Edgar Dejuan Harris
• Edwin Stanley Harris, PH.D.
• Eric Ryan Harris, OD
• Grace Harris, LCSW
• Grant Harris, PH.D.
• Jalon Harris
• Jeffrey D Harris, M.D.
• Jennifer Harris

• Durable Medical Equipment & Medical Supplies in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.