KIM HARRIS (NPI# 1588156475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588156475 |
| Entity Type | Individual |
| Full Name | KIM HARRIS |
| Practice Address |
2447 Summerfield Rd Santa Rosa CA 95405-7815 |
| Mailing Address |
4793 Hillsboro Cir Santa Rosa CA 95405-8782 |
| Practice Telephone | 7075443299 |
| Mailing Telephone | 7073036818 |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154707479 | Kim D Harris | Home Health Aide | 258 A Street, Suite 1, #22, Ashland, OR 97520-1947 | 2015-08-10 |
| 1225117989 | Kim Harris | Dentist | 6225 W 56th St, Suite 100, Indianapolis, IN 46254-7603 | 2006-11-03 |
| 1548693906 | Kim Sturdivant Harris | Nurse Practitioner | 1365 Clifton Road, Suite A2112, Atlanta, GA 30322-1013 | 2013-08-20 |
| 1922381458 | Kim Ann Harris | Pharmacist | 3631 Central Ave, Hot Springs, AR 71913-6404 | 2011-09-21 |
| 1609195783 | Kim Staci Harris | Obstetrics & Gynecology | 7120 Clearvista Dr Ste 2000, Indianapolis, IN 46256-1621 | 2010-05-27 |
| 1316007438 | Kim Shena Harris | Social Worker | 4615 Government St Bldg 2, Baton Rouge, LA 70806-5820 | 2006-12-11 |
| 1699859041 | Kim Lashawn Harris | Case Manager/Care Coordinator | 3810 Winchester Rd, Southeast Mental Health Center, Memphis, TN 38118-9007 | 2006-10-24 |
| 1649385832 | Kim Harris | Physical Therapy Assistant | 29 N Commerce St, Ardmore, OK 73401-3903 | 2006-08-20 |
| Street Address |
2447 SUMMERFIELD RD |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-7815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578600151 | Elizabeth Alison Goldman | Marriage & Family Therapist | 2447 Summerfield Rd, Santa Rosa, CA 95405-7815 | 2007-01-31 |
| 1730791583 | Clarissa Lauren Lasky | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405-7815 | 2020-08-21 |
| 1720690118 | Jillian Towar | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405-7815 | 2020-08-18 |
| 1740892140 | Meghan Elizabeth Walsh Woods | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405-7815 | 2020-08-18 |
| 1952913394 | Gregory Charles Schmid | Psychologist | 2447 Summerfield Rd, Santa Rosa, CA 95405-7815 | 2020-08-18 |
| 1700498078 | Jessica Rose Heaney | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405-7815 | 2020-08-18 |
| 1720612138 | Natalie Lissette Evans | Social Worker | 2447 Summerfield Rd, Santa Rosa, CA 95405-7815 | 2020-02-24 |
| 1598307027 | Stephanie Lopez Amaya | Counselor | 2447 Summerfield Rd, Santa Rosa, CA 95405-7815 | 2019-10-16 |
| 1679120356 | Briana Watson | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405-7815 | 2019-08-19 |
| 1669027355 | Brijida Christina Aleman | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405-7815 | 2019-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| 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 |
|---|---|---|---|---|
| 1134758931 | Allison Noesekabel | Student in an Organized Health Care Education/Training Program | 401 Bicentennial Way Rm 1201, Santa Rosa, CA 95403-2149 | 2020-04-03 |
| 1467083733 | Jessica Hetherington | Student in an Organized Health Care Education/Training Program | 2255 Challenger Way Ste 107, Santa Rosa, CA 95407-5423 | 2020-01-27 |
| 1184282121 | Isabella Maile Beal | Student in an Organized Health Care Education/Training Program | 2275 Warwick Dr, Santa Rosa, CA 95405-8677 | 2019-06-04 |
| 1366904963 | Nathaniel Parker | Student in an Organized Health Care Education/Training Program | 1002 Jennings Ave Apt 207, Santa Rosa, CA 95401-4347 | 2019-04-02 |
| 1265991509 | Ishika Arora | Student in an Organized Health Care Education/Training Program | 401 Bicentennial Way # 110, Santa Rosa, CA 95403-2149 | 2019-03-17 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1881198745 | Elia R. Cole | Student in an Organized Health Care Education/Training Program | 401 Bicentennial Way Ste 110, Santa Rosa, CA 95403-2149 | 2018-03-23 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1073049623 | Shyam Sunder Indrakanti | Student in an Organized Health Care Education/Training Program | 2824 Elk Ln, Santa Rosa, CA 95407-5029 | 2017-05-02 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
Please comment or provide details below to improve the information on KIM 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.