KYLE HARRIS (NPI# 1841629516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841629516 |
| Entity Type | Individual |
| Full Name | KYLE HARRIS |
| Practice Address |
1975 Highway 54 W Fayetteville GA 30214-4794 |
| Mailing Address |
171 Old Rosser Rd Stone Mountain GA 30087-2509 |
| Practice Telephone | 7706323730 |
| Practice Fax Number | 7706323731 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN153892 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891144283 | Kyle Harris | Student in an Organized Health Care Education/Training Program | 4481 Sugar Maple Dr., Wright Patterson Afb, OH 45433 | 2016-06-07 |
| 1457765463 | Kyle Harris | Specialist/Technologist | 970 Bordentown Rd, Burlington, NJ 08016-1902 | 2014-06-17 |
| 1528251964 | Kyle William Harris | Dentist | 711 Quandt Ave, Springdale, AR 72764-5351 | 2007-08-20 |
| 1114566221 | Kyle Patrick Harris | Behavior Technician | 1901 Royal Oaks Dr Ste 201, Sacramento, CA 95815-4235 | 2020-01-06 |
| 1821639451 | Kyle Harris | Internal Medicine | 2884 Wellness Ave Ste 100, Orange City, FL 32763 | 2019-10-04 |
| 1336581396 | Kyle Harris | Pharmacist | 18433 N 19th Ave, Phoenix, AZ 85023-1359 | 2013-07-18 |
| 1497099485 | Kyle Jones Harris | Nurse Anesthetist, Certified Registered | 51 N 39th St, Ppmc 223 Wright/saunders, Philadelphia, PA 19104-2640 | 2012-11-15 |
| 1588977334 | Kyle Thomas Harris | Pharmacist | 707 N Laurel Rd, London, KY 40741-6025 | 2010-07-22 |
| Street Address |
1975 HIGHWAY 54 W |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-4794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396188967 | Lagniappe LLC | Clinic/Center | 1975 Highway 54 W, Suite 100, Fayetteville, GA 30214-4794 | 2013-04-12 |
| 1477830180 | Latasha Nicole Temple | Specialist/Technologist | 1975 Highway 54 W, Suite 210, Fayetteville, GA 30214-4794 | 2011-11-08 |
| 1982882775 | G Clay Taylor | Durable Medical Equipment & Medical Supplies | 1975 Highway 54 W, Ste 205, Fayetteville, GA 30214-4794 | 2008-02-05 |
| 1508860032 | Nick M Gabbay | Podiatrist | 1975 Highway 54 W, Suite 205, Fayetteville, GA 30214-4794 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674181 | Maggie Mullican | Nurse Practitioner | 7084 S Pleasant Ridge Dr, Fayetteville, AR 72704-5447 | 2020-09-18 |
| 1720690167 | Stephen Arthur Lepak | Nurse Practitioner | 6871 Appleton Dr, Fayetteville, PA 17222-9383 | 2020-08-18 |
| 1750990255 | Towauna Daya | Nurse Practitioner | 1338 Redwine Rd, Fayetteville, GA 30215-2509 | 2020-07-30 |
| 1316555642 | Constance Ofundem Takang | Nurse Practitioner | 110 Emerald Lake Ct, Fayetteville, GA 30215-7747 | 2020-07-22 |
| 1851916472 | Breanna Mills | Nurse Practitioner | 2623 N Fire Fly Catch Dr, Fayetteville, AR 72704-6313 | 2020-06-09 |
| 1922621069 | Laura Sarai Perez | Nurse Practitioner | 480 Lees Lake Rd, Fayetteville, GA 30214-3106 | 2020-05-23 |
| 1902431125 | Crystal Baker English | Nurse Practitioner | 113 Old Bethel Rd, Fayetteville, TN 37334-6186 | 2020-03-09 |
| 1568092708 | Stephanie Elizabeth Fields | Nurse Practitioner | 1265 Highway 54 Ste 402, Fayetteville, GA 30214-4537 | 2020-01-15 |
| 1437616364 | Andrea Teal Bergman | Nurse Practitioner | Physicians Medical Walk In Care, 2893 Huntsville Hwy, Fayetteville, TN 37334-6729 | 2019-02-27 |
| 1639634447 | Arica Adams-gro'ce | Nurse Practitioner | 4028 Lifestyle Rd, Fayetteville, NC 28312-9335 | 2019-02-06 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
Please comment or provide details below to improve the information on KYLE 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.