DIANE I. HARRIS (NPI# 1386656312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386656312 |
| Entity Type | Individual |
| Full Name | DIANE I. HARRIS |
| Credential | MD |
| Practice Address |
850 Sequoia Cir Fort Bragg CA 95437-5490 |
| Practice Telephone | 7079640259 |
| Practice Fax Number | 7079640765 |
| Mailing Telephone | 7079640259 |
| Mailing Fax Number | 7079640765 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2015-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G44893 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | 00G448930 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770703324 | Diane Marie Harris | Psychologist | 701 27th St Bldg 8135, Ft. Lee Asap, Fort Lee, VA 23801-2707 | 2007-04-26 |
| 1083752638 | Diane Kathleen Harris | Social Worker | 11 Scarborough Dr, Lake Oswego, OR 97034-7307 | 2007-02-02 |
| 1225041023 | Diane Barbara Harris | Psychiatry & Neurology | 11770 Warner Avenue, Suite 127, Fountain Valley, CA 92708-2660 | 2006-08-14 |
| 1396740940 | Diane Elise Harris | Family Medicine | 4815 Oleander Dr, Wilmington, NC 28403-5108 | 2005-06-19 |
| 1821494709 | Diane Harris | Dietitian, Registered | 503 N 21st St, Camp Hill, PA 17011-2204 | 2014-11-05 |
| 1790071264 | Diane M Harris | Pharmacist | 4005 Us Highway 98 N, T-1859, Lakeland, FL 33809-3815 | 2011-06-23 |
| 1407091135 | Diane B Harris | Registered Nurse | 550 Pope Ave, Munson Army Health Center- Attn: Mcxn-cod, Ms. Cotton, Fort Leavenworth, KS 66027-2332 | 2008-12-09 |
| 1861546442 | Diane Louise Harris | Social Worker | 1010 E Mcdowell Rd, Suite 301, Phoenix, AZ 85006-2606 | 2007-01-22 |
| 1679648158 | Diane Harris | Psychiatry & Neurology | 251 Llewellyn Ave, Campbell, CA 95008-1940 | 2006-11-21 |
| 1184734170 | Diane M Harris | Counselor | 836 Main St, Westbrook, ME 04092-2861 | 2006-08-30 |
| Street Address |
850 SEQUOIA CIR |
| City | FORT BRAGG |
| State | CA |
| Zip Code | 95437-5490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043604705 | Adventist Health Physicians Network | Clinic/Center | 850 Sequoia Cir, Fort Bragg, CA 95437-5490 | 2015-03-20 |
| 1588095848 | Ukiah Adventist Hospital | Clinic/Center | 850 Sequoia Cir, Fort Bragg, CA 95437-5490 | 2013-12-11 |
| 1710017371 | Womens Health Center | Obstetrics & Gynecology | 850 Sequoia Cir, Fort Bragg, CA 95437-5490 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902357437 | Mendocino Coast Hospitality Center | Community/Behavioral Health | 137 E. Oak Street, Fort Bragg, CA 95437 | 2016-10-19 |
| 1144604570 | Erin Paul | Community Health Worker | 474 South Franklin Street, Fort Bragg, CA 95437 | 2015-07-15 |
| 1508125790 | Joel Macgregor Green | Marriage & Family Therapist | 331- G Redwood Ave., Fort Bragg, CA 95437 | 2012-05-09 |
| 1013244102 | Jenna Glasscock | Counselor | 331 E Redwood Ave, Ste E, Fort Bragg, CA 95437 | 2009-11-10 |
| 1770819641 | Patrick Lenaghan | Emergency Medicine | 707 River Dr, Fort Bragg, CA 95437 | 2009-10-27 |
| 1043455827 | M. Lee Baker | Dentist | 890 River Dr, Fort Bragg, CA 95437 | 2008-12-09 |
| 1528250495 | Christine Anne Samas | Social Worker | 656a Harrison St., Fort Bragg, CA 95437 | 2007-08-15 |
| 1083822811 | Katharine L. White | Marriage & Family Therapist | 137 E Oak Street, Fort Bragg, CA 95437 | 2007-05-17 |
| 1053525873 | Marty Christine Johnson | Marriage & Family Therapist | 331 E. Redwood Ave, Fort Bragg, CA 95437 | 2007-05-10 |
| 1528114741 | Kate Teresa Donohue | Psychologist | 19201 Noyo Acres Dr, Fort Bragg, CA 95437 | 2007-01-29 |
| Find all providers in zip 95437 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497001788 | Benjamin Charles Roberts | Family Medicine | 4861 Logistics St, 82 Cab Aeromedical Clinic, Fort Bragg, NC 28310-0001 | 2012-07-24 |
| 1598010571 | Ashley Alexandra Roselle | Family Medicine | Womack Medical Army Medical Center 2817 Reilly Road, Family Medicine Residency Clinic, Fort Bragg, NC 28310 | 2012-07-17 |
| 1912261033 | Robert Alan Powell | Family Medicine | Womack Army Medical, 2817 Reilly Road, Fort Bragg, NC 28310-0001 | 2012-07-03 |
| 1831486869 | Christopher Benjamin Brooks | Family Medicine | Womack Army Medical Center 2817 Reilly St, Family Medicine Clinic, Fort Bragg, NC 28310-7324 | 2011-06-28 |
| 1669684239 | Alan Wayne Davis | Family Medicine | A Co Swmg A, Fort Bragg, NC 28310-0001 | 2007-05-04 |
| 1962548040 | Amy Y Bogiel | Family Medicine | 2929 Desert Storm Dr, Usasoac Surgeon, Fort Bragg, NC 28310-9114 | 2007-01-29 |
| 1316025356 | Maria Regina Landicho Wicks | Family Medicine | 1722 Tagaytay Drive, Fort Bragg, NC 28310-0901 | 2006-11-01 |
| 1396851440 | Sanford Jay Brown | Family Medicine | 815b Sequoia Circle, Fort Bragg, CA 95437 | 2006-08-22 |
| 1629029202 | Mary V. Krueger | Family Medicine | Womack Family Medicine Residency, Building 4-2817 Reilly Road, Fort Bragg, NC 28310-0001 | 2006-05-16 |
| 1659331890 | Angela Hager Bailey | Family Medicine | Bldg 5-4257, Bastogne Ext, Fort Bragg, NC 28310-0001 | 2006-03-23 |
| Find all providers in FORT BRAGG | ||||
| City | FORT BRAGG |
| Zip Code | 95437 |
Please comment or provide details below to improve the information on DIANE I. HARRIS.
| 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.