ELIZABETH N HARRIS (NPI# 1205202504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205202504 |
| Entity Type | Individual |
| Full Name | ELIZABETH N HARRIS |
| Credential | PA-C |
| Practice Address |
1244 Primacy Pkwy Memphis TN 38119-0201 |
| Mailing Address |
6077 Primacy Pkwy Ste 140 Memphis TN 38119-5742 |
| Practice Telephone | 9016413000 |
| Practice Fax Number | 9017678666 |
| Mailing Telephone | 9017258347 |
| Mailing Fax Number | 9012591698 |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2019-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
2813 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2813 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | TN LICENSE | 2813 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3045 Kate Bond Rd, Bartlett, TN 381334004 | 9016413000 | 9013733804 |
| 1350 Concourse Ave Ste 363, Memphis, TN 381042023 | 9012606161 | 9012606162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548722846 | Elizabeth Wheeler Harris | Speech-Language Pathologist | 9309 Bellbeck Rd, Baltimore, MD 21234-1500 | 2019-04-04 |
| 1760964118 | Elizabeth Boardman Harris | Social Worker | 60 Hickory Drive 4th Floor, Waltham, MA 02451 | 2018-09-02 |
| 1629556832 | Elizabeth Chandler Harris | Physician Assistant | 301 Phiip Blvd, Suite A, Lawrenceville, GA 30046-8746 | 2018-07-31 |
| 1609367994 | Elizabeth English Harris | Psychologist | 953 Davis Hwy, Mineral, VA 23117-4149 | 2018-05-23 |
| 1386074557 | Elizabeth Harris | Psychologist | 7 Southside Dr, Suite 206, Clifton Park, NY 12065-3887 | 2013-11-25 |
| 1982971396 | Elizabeth M Harris | Licensed Practical Nurse | 260 Harry L Dr, Johnson City, NY 13790-1493 | 2011-11-30 |
| 1407148307 | Elizabeth Ann Harris | Physician Assistant | 4600 Breton Rd Se Ste 102, Kentwood, MI 49508-5220 | 2011-05-10 |
| 1538459748 | Elizabeth H Harris | Speech-Language Pathologist | Children's Resource Center, 808 North St, Cody, WY 82414-8438 | 2011-04-10 |
| 1639476708 | Elizabeth Anne Harris | Dietitian, Registered | 4989 Sw Roseberry St, Corvallis, OR 97333-1360 | 2011-02-24 |
| 1417259615 | Elizabeth Harris | Nutritionist | 14520 Memorial Dr, Suite 16, Houston, TX 77079-5434 | 2010-11-22 |
| Street Address |
1244 PRIMACY PKWY |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-0201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982698890 | Judith Rae Lee-sigler | Physical Medicine & Rehabilitation | 1244 Primacy Pkwy, Memphis, TN 38119-0201 | 2005-09-07 |
| 1275025223 | Alex Terrill Isom | Physical Therapist | 1244 Primacy Pkwy, Memphis, TN 38119-0201 | 2018-06-05 |
| 1780109009 | William Ray Clark II | Physician Assistant | 1244 Primacy Pkwy, Memphis, TN 38119-0201 | 2017-08-08 |
| 1659631794 | Emily K Cross | Registered Nurse | 1244 Primacy Pkwy, Memphis, TN 38119-0201 | 2012-05-23 |
| 1407122203 | Spencer William Hauser | Orthopaedic Surgery | 1244 Primacy Pkwy, Memphis, TN 38119-0201 | 2012-03-26 |
| 1780976142 | Katherine Dianne Draper | Physical Therapist | 1244 Primacy Pkwy, Memphis, TN 38119-0201 | 2011-05-04 |
| 1255584009 | Msk Group, PC | Physical Therapist | 1244 Primacy Pkwy, Memphis, TN 38119 | 2008-10-24 |
| 1891967147 | Tyler Austin Cannon | Orthopaedic Surgery | 1244 Primacy Pkwy, Memphis, TN 38119-0201 | 2008-03-27 |
| 1902028947 | Samuel Ray Schroerlucke | Orthopaedic Surgery | 1244 Primacy Pkwy, Memphis, TN 38119-0201 | 2007-05-02 |
| 1144395120 | Suzanne Ward | Registered Nurse | 1244 Primacy Pkwy, Memphis, TN 38119-0201 | 2006-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568910560 | Erica Troia Comstock | Physician Assistant | 7193 Farnham Rd, Memphis, NY 13112-8764 | 2016-09-19 |
| 1578895546 | Carl H. Harris | Physician Assistant | 6946 Finch Rd, Memphis, TN 38141-8598 | 2010-02-02 |
| 1831361948 | F & P Certified Surgical Assistants LLC | Physician Assistant | 4793 Northwood Hills Cv, Memphis, TN 38128-1632 | 2008-03-28 |
| 1265619118 | Jerry Emerson Shaw | Physician Assistant | 3980 New Covington Pike Ste 200, Memphis, TN 38128-2514 | 2008-01-23 |
| 1508974700 | Mary E Bruce | Physician Assistant | 890 Madison Ave, Memphis, TN 38103-3409 | 2006-08-28 |
| 1427683796 | Madison Barry | Physician Assistant | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-03-07 |
| 1891340154 | Lauren Elizabeth Whitley | Physician Assistant | 1325 Eastmoreland Ave Ste 365, Memphis, TN 38104-7542 | 2019-08-05 |
| 1518519057 | Michael Trevor Houseal | Physician Assistant | 1325 Eastmoreland Ave Ste 365, Memphis, TN 38104-7542 | 2019-07-15 |
| 1427571850 | Kristen Kaplon | Physician Assistant | 6029 Walnut Grove Rd Ste 401, Memphis, TN 38120-2112 | 2017-07-18 |
| 1316485667 | Kathryn Lee | Physician Assistant | 6025 Walnut Grove Rd Ste 301, Memphis, TN 38120-2123 | 2017-02-07 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.