MARY R HARRIS (NPI# 1366612970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366612970 |
| Entity Type | Individual |
| Full Name | MARY R HARRIS |
| Credential | APRN |
| Practice Address |
805 Atlantic St Stamford CT 06902-6805 |
| Practice Telephone | 2033275111 |
| Practice Fax Number | 2033272991 |
| Mailing Telephone | 2033275111 |
| Mailing Fax Number | 2033272991 |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2010-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
003718 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | STATE LICENSE | 003718 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942780325 | Mary D. Harris | Registered Nurse | 2066 Glenridge Rd, Euclid, OH 44117-2213 | 2018-08-15 |
| 1164911780 | Mary Elizabeth Harris | Licensed Practical Nurse | 4230 Pinewood Ln, Lincoln, NE 68516-2924 | 2018-05-09 |
| 1114260155 | Mary Evelyn Harris | Marriage & Family Therapist | 8964 North Magnolia Street, Santee, CA 92071-2432 | 2013-03-28 |
| 1962721134 | Mary Morgan Harris | Massage Therapist | 418 Highway 12 W, Starkville, MS 39759-3635 | 2010-05-26 |
| 1669601910 | Mary Elisabeth Harris | Internal Medicine | 300 Madison Ave Fl 3, Madison, NJ 07940-1868 | 2009-07-08 |
| 1952513251 | Mary Elizabeth Harris | Registered Nurse | 101 North Merion Avenue, Bryn Mawr College Health Center, Bryn Mawr, PA 19010-2899 | 2007-05-07 |
| 1558488999 | Mary A. Harris | Social Worker | 305 Wellesley Rd, Philadelphia, PA 19119-2906 | 2007-03-22 |
| 1386777977 | Mary Beckett Harris | Registered Nurse | 7 Westbrook Rd, Coram, NY 11727 | 2007-03-13 |
| 1689702656 | Mary Elizabeth Harris | Speech-Language Pathologist | 3160 Agua Fria St, Santa Fe, NM 87507-5402 | 2007-03-01 |
| 1669550810 | Mary Harris | Respiratory Therapist, Certified | 1255 N Massasoit Ave, 1st Floor, Chicago, IL 60651-1120 | 2006-11-02 |
| Street Address |
805 ATLANTIC ST |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-6805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023013182 | Paul James O Braonain | Family Medicine | 805 Atlantic St, Stamford, CT 06902-6805 | 2005-06-16 |
| 1215546528 | Ernesta D Gadalla | Registered Nurse | 805 Atlantic St, Stamford, CT 06902-6805 | 2020-07-23 |
| 1437700564 | Sara Moura Franco | Registered Nurse | 805 Atlantic St, Stamford, CT 06902-6805 | 2019-09-20 |
| 1265817662 | Adriana M Mora Rodriguez | Physician Assistant | 805 Atlantic St, Stamford, CT 06902-6805 | 2015-07-27 |
| 1679845648 | Maureen Flanagan | Nurse Practitioner | 805 Atlantic St, Stamford, CT 06902-6805 | 2012-02-06 |
| 1831470343 | Prajakta Abhijit Kulkarni | Pediatrics | 805 Atlantic St, Stamford, CT 06902-6805 | 2011-08-30 |
| 1699904797 | Willeatha M Taylor | Pediatrics | 805 Atlantic St, Stamford, CT 06902-6805 | 2009-07-09 |
| 1073747788 | Ann Mantua Asunto | Family Medicine | 805 Atlantic St, Stamford, CT 06902-6805 | 2009-05-08 |
| 1750535985 | Optimus Health Care Inc. | Clinic/Center | 805 Atlantic St, Stamford, CT 06902-6805 | 2008-11-14 |
| 1003065855 | Christine Muniz | Physician Assistant | 805 Atlantic St, Stamford, CT 06902 | 2008-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861043242 | Palak Bhambri | Pharmacist | 537 Canal Street, Stamford, CT 06902 | 2019-09-26 |
| 1730654815 | Brenice Duroseau | Nurse Practitioner | 292 Long Ridge Rd Ste 202, Stamford, CT 06902 | 2018-10-04 |
| 1447732862 | Ngoc Lam | Pharmacist | 1990 West Main Street, Stamford, CT 06902 | 2018-09-01 |
| 1336627264 | Margaret F Gorelick | Nurse Practitioner | Stamford Health, One Hospital Plaza, Stamford, CT 06902 | 2018-08-02 |
| 1174053425 | Ashley Marie Santana | Social Worker | 110 Commons Park N Apt 1158, Stamford, CT 06902 | 2017-06-19 |
| 1578090395 | Anas Al-sabbagh | Dentist | 1 Strawberry Hill Court Suite L7 Stamford, Connecticut, Stamford, CT 06902 | 2017-05-11 |
| 1154862936 | Hillary Rubin | Psychologist | 44 Commerce Avenue, Stamford, CT 06902 | 2017-03-14 |
| 1801332135 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1 Hospital Plz Ste G122, Stamford, CT 06902 | 2017-01-10 |
| 1932563277 | Mary Hurtadodemendoza | Pharmacist | 59 Courtland Ave 2m, Stamford, CT 06902 | 2016-04-13 |
| 1235592247 | Advanced Therapy and Performance LLC | Physical Medicine & Rehabilitation | 75 Selleck Street, Stamford, CT 06902 | 2016-03-29 |
| Find all providers in zip 06902 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942665443 | Trina Patenaude Martin | Nurse Practitioner | 9 Dundee Rd, Stamford, CT 06903-3611 | 2015-12-28 |
| 1831565654 | Amanda Pucci | Nurse Practitioner | 1850 Summer St, Stamford, CT 06905-5015 | 2015-08-16 |
| 1336471184 | Gannel Jean-pierre | Nurse Practitioner | 382 High Ridge Rd, Stamford, CT 06905-3019 | 2010-02-04 |
| 1982769600 | Soohyun Nam | Nurse Practitioner | 30 Buxton Farm Rd, Stamford, CT 06905 | 2006-12-22 |
| 1013421015 | Arlene Elizabeth Butler | Nurse Practitioner | 1 Hospital Plaza, 3rd Floor - Center Building, Stamford, CT 06904 | 2017-11-29 |
| 1699226134 | Cara Ann Delvecchio | Nurse Practitioner | 190 W Broad St, Suite G401, Stamford, CT 06902-3633 | 2016-10-19 |
| 1083007686 | Lizabeth Munz Sachs | Nurse Practitioner | 190 W Broad St, Stamford, CT 06902-3633 | 2015-03-06 |
| 1437490620 | Mariana Negrila | Nurse Practitioner | 38 Bungalow Park, Stamford, CT 06902-6244 | 2013-03-13 |
| 1386949634 | Bibian Anyango Odhiambo | Nurse Practitioner | 29 Hospital Plz Ste 502, Stamford, CT 06902 | 2011-01-18 |
| 1639482268 | Patricia Ann Garst | Nurse Practitioner | 32 Strawberry Hill Ct, Stamford, CT 06902-2594 | 2010-07-25 |
| Find all providers in STAMFORD | ||||
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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.