Active NPI
Tanisha Harris
- Registered Nurse
- Earleville, MD
National Provider Identifier
1972281996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- L1-0067171
- Practice address
- 314 Grove Neck Rd
Earleville, MD 21919-3008 - Phone
- (443) 282-1197
- NPI assigned
- Jul 10, 2023
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | L1-0067171 | DE | Primary |
Addresses
Primary practice location
314 Grove Neck Rd
Earleville, MD 21919-3008
Mailing address
30976 River Rd
Millington, MD 21651-1354
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1-0067171 | DE | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1972281996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30976 RIVER RD",
"city": "MILLINGTON",
"state": "MD",
"postal_code": "216511354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 GROVE NECK RD",
"city": "EARLEVILLE",
"state": "MD",
"postal_code": "219193008",
"telephone_number": "443-282-1197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "TANISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-10",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DE",
"license": "L1-0067171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Earleville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.