Edie Harris, PCA/CHHA

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

00248381 Issued in NY

Practice address

358 Watervliet Shaker Rd Unit a
Watervliet, NY 12189

Phone

(518) 833-0450

NPI assigned

Sep 10, 2015

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535760000000",
    "number": "1992173744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 WATERVLIET SHAKER RD UNIT A",
            "city": "WATERVLIET",
            "state": "NY",
            "postal_code": "121890309",
            "telephone_number": "518-461-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 WATERVLIET SHAKER RD UNIT A",
            "city": "WATERVLIET",
            "state": "NY",
            "postal_code": "12189",
            "telephone_number": "518-833-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "EDIE",
        "credential": "PCA/CHHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2018-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NY",
            "license": "00248381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Marie Gauriloff
• Denise Marie Gifford, COTA
• Steven Nathan Goldstein, M.D.
• Thomas Gordon
• Hassani Hamilton, CFY-SLP
• Annette Marie Hathaway
• Sara E Heidelmark
• Moira Hilt, PT
• William James Hogan, D.D.S.
• Debra Marie Hotaling, R.PH.

• Home Health Aide in Watervliet, NY
• Providers in Watervliet, NY by specialty
• Home Health Aide in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.