Active NPI
Christopher Dewayne Harbison
- Driver
- Louisville, KY
National Provider Identifier
1972495810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- H96-854-412
- Practice address
- 13214 Knoll Wind Way
Louisville, KY 40299-4796 - Phone
- (502) 386-1223
- NPI assigned
- Jul 16, 2025
- Last updated
- Jul 16, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | H96-854-412 | KY | Primary |
Addresses
Primary practice location
13214 Knoll Wind Way
Louisville, KY 40299-4796
Mailing address
13214 Knoll Wind Way
Louisville, KY 40299-4796
Phone (502) 386-1223
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H96-854-412 | KY | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1972495810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13214 KNOLL WIND WAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402994796",
"telephone_number": "502-386-1223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13214 KNOLL WIND WAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402994796",
"telephone_number": "502-386-1223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARBISON",
"first_name": "CHRISTOPHER",
"middle_name": "DEWAYNE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-16",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "KY",
"license": "H96-854-412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.