Edna Mae Harris, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

425721 Issued in CA

Practice address

805 W Acequia Ave
# 2D
Visalia, CA 93291-6162

Phone

(559) 625-9100

Fax

(559) 625-9103

NPI assigned

Jul 12, 2006

Last updated

Sep 5, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504569600000",
    "number": "1992730238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 W. ASHLAN AVE. SP25",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937056471",
            "telephone_number": "559-430-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W ACEQUIA AVE",
            "address_2": "# 2D",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916162",
            "telephone_number": "559-625-9100",
            "fax_number": "559-625-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "EDNA",
        "middle_name": "MAE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2017-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "425721",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "AZ",
            "license": "RN112310",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "425721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luz Maria Haro, PPS
• Valeria Haro
• Hannah Maree Harrell I
• Jacquelyn Harris-Groeber, PH.D.
• Dominique Harris
• Kaylah Harris
• Logan Harris
• Harry R Lively MD Inc
• Mathew Hartounian, DO
• Caitlin Alyse Hartsell

• Nurse Practitioner in Visalia, CA
• Providers in Visalia, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; 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.