JAMES KENNETH HARRIS


Address: 425 Pine Ridge Blvd, Wausau, WI 54401-4123
Phone: 7158455055

JAMES KENNETH HARRIS (NPI# 1346768009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346768009
Entity Type Individual
Full Name JAMES KENNETH HARRIS
Credential CRNA
Practice Address 425 Pine Ridge Blvd
Wausau
WI 54401-4123
Mailing Address 3699 Laurie Ann Ln
Wausau
WI 54401-8401
Practice Telephone 7158455055
Enumeration Date 2017-09-01
Last Update Date 2017-09-01
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 118453 WI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI NBCRNA 118453 01

Other Providers JAMES HARRIS

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1700345147 James Kevin Harris Behavior Technician 6820 W Denton Ln, Glendale, AZ 85303-5920 2019-03-15
1356870265 James B Harris Audiologist-Hearing Aid Fitter 12077 Gayton Rd, Richmond, VA 23238-3401 2017-06-06
1164761987 James William Harris Interpreter 1202 Pomeroy Ct, St Charles, IL 60174-4554 2013-02-14
1982949491 James H. Harris Jr. Internal Medicine 6816 Us Highway 59 S, Marshall, TX 75672-4150 2012-12-10
1336468669 James Harris Acupuncturist 2200 Chestnut Ave, Manhattan Beach, CA 90266-2935 2010-05-26
1477878692 James C Harris Pharmacist 1649 E Roy Parker Rd, Ozark, AL 36360-4716 2010-03-30
1689998379 James Anthony Harris Plastic Surgery 5445 Dtc Parkway, Suite 1015, Greenwood Village, CO 80111 2010-03-24
1558685958 James R. Harris Psychologist 1456 London Dr, Upper Arlington, OH 43221-1544 2010-03-15
1558511410 James E Harris Physician Assistant 8901 Clifton Meadow Dr, Matthews, NC 28105-8466 2008-09-26
1477710200 James Henry Harris Jr. Dentist 1504-06 East 87th Street, Chicago, IL 60619-6525 2008-05-20

Office Location

Street Address 425 PINE RIDGE BLVD
City WAUSAU
State WI
Zip Code 54401-4123

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679573463 David Albert Nash Physician Assistant 425 Pine Ridge Blvd, Ste 209, Wausau, WI 54401-4123 2005-07-22
1518471838 Sara Belle Starr Nurse Practitioner 425 Pine Ridge Blvd, Wausau, WI 54401-4123 2017-11-22
1255878237 Jonathan A Levin Nurse Anesthetist, Certified Registered 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 2017-01-27
1013453497 Elliott Adent Nurse Anesthetist, Certified Registered 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 2017-01-10
1134664121 Jennifer Young Nurse Practitioner 425 Pine Ridge Blvd, Wausau, WI 54401 2016-12-29
1164967568 Zjia Anita Manzanares Evans Registered Nurse 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 2016-12-21
1255704763 Kimberly Kramer Nurse Anesthetist, Certified Registered 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 2015-11-05
1982071270 Wendy J Mattlin Nurse Practitioner 425 Pine Ridge Blvd, Suite220a, Wausau, WI 54401-4123 2015-08-21
1750770640 Amy Jo Hanneman Nurse Practitioner 425 Pine Ridge Blvd, Suite 300, Wausau, WI 54401-4123 2015-01-14
1265831226 Connie Metz Nurse Practitioner 425 Pine Ridge Blvd, Ste 200, Wausau, WI 54401-4123 2014-08-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164031464 Central Wisconsin Endodontic Specialists LLC Dentist 2606 Stewart Avenue, #102, Wausau, WI 54401 2020-07-23
1376161976 Family Foot and Ankle Clinic LLC Podiatrist 1901 Westwood Boulevard, Wausau, WI 54401 2020-07-09
1336701895 Amy Kluetz Counselor 3000 Westhill Drive, Suite 100, Wausau, WI 54401 2019-07-05
1437640877 Joseph T Fitz Student in an Organized Health Care Education/Training Program Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 2018-05-22
1699293241 Amanda Nedd Dietitian, Registered 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 2017-09-05
1396287447 Dee Cha Nurse Anesthetist, Certified Registered 4851 Rachel Ln Apt 5, Wausau, WI 54401 2016-11-07
1013389618 Grace Lutheran Foundation Inc Skilled Nursing Facility 2727 Plaza Dr., Wausau, WI 54401 2015-10-22
1881091163 Judy Lao Dental Hygienist 413 North 17th Avenue, Wausau, WI 54401 2014-12-02
1295012011 Allison Waraksa Pharmacist 504 S. 17th Ave, Wausau, WI 54401 2011-11-08
1881974053 Walgreen Co Durable Medical Equipment & Medical Supplies 504 S 17th Ave, Wausau, WI 54401 2011-08-19
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396287447 Dee Cha Nurse Anesthetist, Certified Registered 4851 Rachel Ln Apt 5, Wausau, WI 54401 2016-11-07
1598916199 Rebecca Lynn Schmitz Nurse Anesthetist, Certified Registered 425 Pine Ridge Blvd Ste 211, Wausau, WI 54401-4123 2008-10-02
1760654842 Julie Ann Wilcox Nurse Anesthetist, Certified Registered 425 Pine Ridge Blvd., Suite 211, Wausau, WI 54401 2008-03-28
1104821651 Michael J Hein Nurse Anesthetist, Certified Registered 411 Westwood Dr, Wausau, WI 54401-4152 2005-06-20
1467009282 Anson Mcquigg Nurse Anesthetist, Certified Registered 333 Pine Ridge Blvd, Wausau, WI 54401-4102 2019-08-26
1447807086 Kelly Jonathon Douck Nurse Anesthetist, Certified Registered 333 Pine Ridge Blvd, Wausau, WI 54401-4102 2019-08-19
1336612795 Midwest Alliance Services LLC Nurse Anesthetist, Certified Registered 800 N. 1st St., Wausau, WI 54403 2019-01-09
1174099634 Shanna Badje Nurse Anesthetist, Certified Registered 425 Pine Ridge Blvd Ste 211, Wausau, WI 54401-4123 2018-10-22
1255878237 Jonathan A Levin Nurse Anesthetist, Certified Registered 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 2017-01-27
1013453497 Elliott Adent Nurse Anesthetist, Certified Registered 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 2017-01-10
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City WAUSAU
Zip Code 54401

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Dataset Information

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.

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