Active NPI
Eboni Herbert Harris, APRN
- Nurse Practitioner
- Greenville, SC
National Provider Identifier
1982834404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3954
- Practice address
- 27 Creekview CT
Greenville, SC 29615-4800 - Phone
- (864) 627-4032
- Fax
- (864) 627-4035
- NPI assigned
- Jul 17, 2009
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3954 | SC | Primary |
Addresses
Primary practice location
27 Creekview CT
Greenville, SC 29615-4800
Mailing address
27 Creekview CT
Greenville, SC 29615-4800
Phone (864) 627-4032
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3954 | SC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Medical Rehab | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Greenville, SC
- NPI 1497705982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247788800000",
"number": "1982834404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 CREEKVIEW CT",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154800",
"telephone_number": "864-627-4032",
"fax_number": "864-627-4035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 CREEKVIEW CT",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154800",
"telephone_number": "864-627-4032",
"fax_number": "864-627-4035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "EBONI",
"middle_name": "HERBERT",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-17",
"last_updated": "2009-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "3954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.