Individual provider Active NPI

Tomika J. Harris

  • Certified Registered Nurse Anesthetist
  • Temple, TX
National Provider Identifier
1962990341
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP138715 Issued in TX
Practice address
2401 S 31St St
Temple, TX 76508-0001
Phone
(254) 724-2111
NPI assigned
May 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP138715 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2401 S 31St St
Temple, TX 76508-0001

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS, MO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20191003001037 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204185606 Reassigns benefits to 7 organizations
I20230124003616 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204185606 Reassigns benefits to 4 organizations
I20240122002254 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204185606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resource Anesthesiology Associates of TN PCGroup PAC ID 8527419092, 145 clinicians

Practice addresses (Care Compare)

1265 Union Ave
Suite 201
Memphis, TN 38104-3415
Phone (901) 516-7000

4250 Bethel Rd
Olive Branch, MS 38654-8737
Phone (662) 932-9000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP138715TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Midsouth Speciality Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2023 Accepting new patients
Resource Anesthesiology Associates of TN PC Nurse Anesthetist, Certified Registered CurrentSince Feb 9, 2024 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince Jul 9, 2019 Accepting new patients
Lifelinc Anesthesia VIII PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2024 Accepting new patients
Southeast Missouri Hospital Physicians, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 11, 2023 Accepting new patients
Lifelinc Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 27, 2023 Accepting new patients
Lifelinc Anesthesia II, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 10, 2023 Accepting new patients
Vascular Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 18, 2022 Accepting new patients

Locations

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

634 Leigh Dr
Columbus, MS 39705
Phone (601) 978-3393

4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000

403 Getwell Dr
Senatobia, MS 38668
Phone (662) 301-2130

55 Physicians Ln
Southaven, MS 38671
Phone (662) 655-2136

450 Mamaroneck Ave
Ste 201
Harrison, NY 10528
Phone (877) 476-6642

2986 Kate Bond Rd
Bartlett, TN 38133
Phone (901) 765-1000

1500 W Poplar Ave
Collierville, TN 38017
Phone (901) 227-8140

1355 W Brierbrook Rd
Germantown, TN 38138
Phone (901) 755-8300

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

1044 Cresthaven Rd
Memphis, TN 38119
Phone (662) 470-5029

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

5645 Murray Ave
Memphis, TN 38119
Phone (901) 633-1190

1750 Madison Ave
Ste 300
Memphis, TN 38104
Phone (901) 725-7025

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

2200 Union Ave
Memphis, TN 38104
Phone (901) 274-5813

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

1265 Union Ave
Ste 201
Memphis, TN 38104
Phone (901) 516-7000

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

100 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1531

3301 S 14th St
Ste 16180
Abilene, TX 79605

2636 S Loop W
Ste 560
Houston, TX 77054

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1962990341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "800-994-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765080001",
            "telephone_number": "254-724-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TOMIKA",
        "middle_name": "J.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP138715",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.