Kantrell Raishanda Harris, P.A.- C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA07665 Issued in TX

Practice address

309 Highway 59 Loop S
Livingston, TX 77352-9012

Phone

(936) 327-1055

NPI assigned

Jan 5, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1992075162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S WILLIAM BARNETT AVE",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274542",
            "telephone_number": "281-592-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 HIGHWAY 59 LOOP S",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773529012",
            "telephone_number": "936-327-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KANTRELL",
        "middle_name": "RAISHANDA",
        "credential": "P.A.- C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-05",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harbor Home Health LP
• Harbor Hospice of Livingston LP
• Isabelle Harpey
• Stacey Leigh Harris Akers, ENP, FNP
• Florida Faye Harris, MTP
• Lewis Leroy Harris, LPC
• Melissa Kay Hartman, MA,CCC-SLP
• Diane Juanita Hawley, R..N.
• Anissa Nichelle Haynes, ADMINISTARTOR
• Health Center of Southeast Texas

• Physician Assistant in Livingston, TX
• Providers in Livingston, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.