BREEANNA HARRIS (NPI# 1710410238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710410238 |
| Entity Type | Individual |
| Full Name | BREEANNA HARRIS |
| Practice Address |
11709 Fruehauf Dr Charlotte NC 28273-6507 |
| Mailing Address |
11709 Freuhauf Drive Suite 105 & 106 Charlotte NC 28273 |
| Practice Telephone | 4042761981 |
| Mailing Telephone | 4042761981 |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-04-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| N | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
11709 FRUEHAUF DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28273-6507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841422284 | Healing Hands Support Services | Community/Behavioral Health | 11709 Fruehauf Dr, Suite 225, Charlotte, NC 28273-6507 | 2009-08-19 |
| 1205458122 | Unique Touch Home Health Care LLC | In Home Supportive Care | 11709 Fruehauf Dr, Charlotte, NC 28273-7284 | 2020-05-13 |
| 1649892738 | Christopher Obianom Nwosu | Home Health Aide | 11709 Fruehauf Dr, Charlotte, NC 28273-7284 | 2020-05-11 |
| 1417420829 | Kristina Lewandowski | Dietitian, Registered | 11709 Fruehauf Dr, Charlotte, NC 28273-7284 | 2019-01-08 |
| 1356851299 | Active Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 11709 Fruehauf Dr, Charlotte, NC 28273-7284 | 2017-10-05 |
| 1518273101 | Jean Elizabeth Rogers | Speech-Language Pathologist | 11709 Fruehauf Dr, Ste. 123, Charlotte, NC 28273-6507 | 2010-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588204846 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 2520 Whitehall Park Dr Ste 1000, Charlotte, NC 28273 | 2020-01-14 |
| 1295387637 | Excel Eyecare Od Pa | Optometrist | 14154 Steele Creek Rd, Ste 200, Charlotte, NC 28273 | 2019-07-16 |
| 1992262018 | Katherine Grace Bias | Speech-Language Pathologist | 11709 Freuhaud Dr Ste. 123, Charlotte, NC 28273 | 2019-02-25 |
| 1487111977 | Shanise Danielle Lewis | Respite Care | Top Notch Nurse Staffing & Home Health LLC., 2015 Ayrsley Town Blvd. Suite 202, Charlotte, NC 28273 | 2019-02-21 |
| 1700361953 | Timothy John Hartman | Chiropractor | 2550 West Arrowood Road Suite 104, Charlotte, NC 28273 | 2018-10-03 |
| 1144703141 | Shaquanda King | Behavior Technician | 15528 Baltinglass Ct., Charlotte, NC 28273 | 2018-09-14 |
| 1184106502 | Janelle Gillis | Behavioral Analyst | 13354 Calloway Glen Dr, Charlotte, NC 28273 | 2018-09-01 |
| 1730688680 | Style By Shandy Inc | Specialist | 2106 Arysley Town Blvd, A, Charlotte, NC 28273 | 2018-02-06 |
| 1063945582 | Bpolloni Consulting | Clinical Medical Laboratory | 11709 Fruehauf Drive, Suite 105 & 106, Charlotte, NC 28273 | 2017-04-11 |
| 1770038325 | Kerry Barbera | Dietitian, Registered | 12421 Belmont Mansion Dr, Charlotte, NC 28273 | 2016-08-23 |
| Find all providers in zip 28273 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895531 | Tina Lashay Johnson | Contractor | 5511 Monroe Rd Ste 206, Charlotte, NC 28212-5503 | 2020-09-09 |
| 1548879166 | Tamika M Wright | Contractor | 638 Wilora Landing Rd, Charlotte, NC 28212-8456 | 2020-07-29 |
| 1164030623 | Nakela Humphries | Contractor | 4957 Albemarle Rd Ste A, Charlotte, NC 28205-6617 | 2020-07-21 |
| 1730743485 | Princess Ejindu | Contractor | 9700 Research Dr Ste 107, Charlotte, NC 28262-8569 | 2019-04-29 |
| 1174057566 | Maisha Hill | Contractor | 321 N Davidson St, 307, Charlotte, NC 28202-2928 | 2017-04-12 |
| 1265971634 | Patricia Ellen Downs | Contractor | 8125 Plott Rd, Charlotte, NC 28215-9497 | 2017-02-18 |
| 1285089391 | Janet Levine | Contractor | 8124 Tremaine Ct, Apt E, Charlotte, NC 28227-0605 | 2016-04-26 |
| 1447648860 | Agneta Cynthia Adewumi | Contractor | 9532 Grove Side Ln, Apt 1203, Charlotte, NC 28262-5494 | 2015-01-07 |
| 1710300397 | Jacquelyn Charles | Contractor | 4046 Glenlea Commons Dr, Charlotte, NC 28216-9515 | 2014-02-02 |
| 1831437813 | Cynthia Dale Daly | Contractor | 2946 Redfield Dr, Charlotte, NC 28270-3754 | 2013-01-24 |
| Find all providers in CHARLOTTE | ||||
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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.