MR. MICK EMERSON HARRIS (NPI# 1346841749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346841749 |
Entity Type | Individual |
Full Name | MR. MICK EMERSON HARRIS |
Credential | EMT |
Practice Address |
523 N Birkdale Ct Wichita KS 67230-1532 |
Practice Telephone | 3166502360 |
Mailing Telephone | 3166502360 |
Enumeration Date | 2020-11-03 |
Last Update Date | 2020-11-03 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | STATE BOARD OF EMS | 58891 | 01 |
KS | ELLIS COUNTY GOVERNMENT | 264 | 01 |
Street Address |
523 N BIRKDALE CT |
City | WICHITA |
State | KS |
Zip Code | 67230-1532 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043468051 | Charles W Grauel | Anesthesiology | 14821 Sharon Lane, Wichita, KS 67230 | 2008-09-03 |
1205933686 | Gregory S. Linhardt | Anesthesiology | 1701 Rocky Glen, Wichita, KS 67230 | 2006-09-20 |
1437127123 | David Rosen | Specialist | 24 Sandpiper Ct., Wichita, KS 67230 | 2006-03-09 |
1871821876 | Richard J Cummings | Otolaryngology | 1258 Burning Tree Drive, Wichita, KS 67230-1410 | 2009-12-02 |
1588101232 | True Home Care | In Home Supportive Care | 12828 E 13th St N, Wichita, KS 67230-1465 | 2017-01-19 |
1407237084 | Trey Anderson | Dentist | 700 N Preston Trl, Wichita, KS 67230-1505 | 2015-06-09 |
1609940675 | Wayne Mason | Radiology | 701 N Preston Trl, Wichita, KS 67230-1525 | 2006-11-20 |
1477799260 | The Wound Nurse, LLC | Durable Medical Equipment & Medical Supplies | 716 N Saint Andrews St, Wichita, KS 67230-1531 | 2008-12-28 |
1033325626 | Laurie Hughey | Speech-Language Pathologist | 3 E Stonebridge Cir, Wichita, KS 67230-1560 | 2007-05-14 |
1609114842 | Frederic C Chang | Surgery | 35 E Via Roma St, Wichita, KS 67230-1602 | 2013-01-23 |
Find all providers in zip 67230 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992328678 | Madison Breanne Nigus | Student in an Organized Health Care Education/Training Program | 12526 E Central Ave Apt 2125, Wichita, KS 67206-2860 | 2020-05-28 |
1336762228 | Natalie Mae White | Student in an Organized Health Care Education/Training Program | 1613 S Triple Crown St, Wichita, KS 67230-7527 | 2020-05-26 |
1154944411 | Katty Gabriela Regalado Pastor | Student in an Organized Health Care Education/Training Program | 2549 S Maize Ct, Wichita, KS 67215-8902 | 2020-05-21 |
1245852839 | Katherine Gamble Flores-bailey | Student in an Organized Health Care Education/Training Program | 7450 E 32nd St N Apt 901, Wichita, KS 67226-1297 | 2020-05-18 |
1164050191 | Uyen Adrianne Tran | Student in an Organized Health Care Education/Training Program | 3823 N Estancia Ct, Wichita, KS 67205-8710 | 2020-03-27 |
1396305546 | Elijah White | Student in an Organized Health Care Education/Training Program | 1051 S Clifton Ave, Wichita, KS 67218-2910 | 2019-06-19 |
1932767332 | Benjamin John Lagaly | Student in an Organized Health Care Education/Training Program | 6401 W 34th St N, Wichita, KS 67205-2542 | 2019-05-31 |
1477110138 | Katelyn Elizabeth Gochenour | Student in an Organized Health Care Education/Training Program | 3431 E Pine St, Wichita, KS 67208-3275 | 2019-05-28 |
1912562869 | Sindi Vishaj | Student in an Organized Health Care Education/Training Program | North Oliver Avenue, Wichita, KS 67220 | 2019-05-07 |
1467926865 | Jacob Daniel Clarke | Student in an Organized Health Care Education/Training Program | 1717 S Cypress St Apt 1514, Wichita, KS 67207-5554 | 2019-01-18 |
Find all providers in WICHITA |
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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.