KELLY RAE HARRIS (NPI# 1851753255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851753255 |
| Entity Type | Individual |
| Full Name | KELLY RAE HARRIS |
| Credential | FNP-C |
| Practice Address |
16515 S 40th St Ste 135 Phoenix AZ 85048-0560 |
| Mailing Address |
20401 N 73rd St Ste 230 Scottsdale AZ 85255-4153 |
| Practice Telephone | 4805560446 |
| Practice Fax Number | 4805560447 |
| Mailing Telephone | 4805560446 |
| Mailing Fax Number | 4805560447 |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2019-12-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN173398 | AZ | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP8587 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199057 | Kelly M Harris | Counselor | 2531 Briarcliff Rd Ne Ste 203, Atlanta, GA 30329-3017 | 2019-11-19 |
| 1316590755 | Kelly Harris | Dentist | 9110 W Tropicana Ave Unit 393, Las Vegas, NV 89147-8764 | 2019-07-23 |
| 1801331715 | Kelly Harris | Technician, Other | 9266 Louis, Redford, MI 48239-1732 | 2017-01-01 |
| 1669827697 | Kelly Wolenberg Harris | Student in an Organized Health Care Education/Training Program | 3600 Forbes Ave Bldg Suite405, Pittsburgh, PA 15213-3410 | 2016-04-27 |
| 1982904314 | Kelly Harris | Counselor | 631 Arbor Road, Winston-salem, NC 27104 | 2010-11-02 |
| 1184830648 | Kelly Jo Harris | Speech-Language Pathologist | 961 Brunswick Cir, Schaumburg, IL 60193-4250 | 2007-05-14 |
| 1326168956 | Kelly Marie Harris | Speech-Language Pathologist | 404 Sw Talquin Ln, Port Saint Lucie, FL 34986-2062 | 2007-03-29 |
| 1932231032 | Kelly Rae Harris | Counselor | 2510 Chickasaw Blvd., Medical Family Therapy, Ardmore, OK 73401 | 2007-03-12 |
| 1760528491 | Kelly M Harris | Speech-Language Pathologist | 1524 S Big Bend Blvd, Saint Louis, MO 63117-2206 | 2007-01-29 |
| 1851467559 | Kelly D Harris | Chiropractor | 211 S Woodruff Ave Ste B, Idaho Falls, ID 83401-4369 | 2006-11-27 |
| Street Address |
16515 S 40TH ST STE 135 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85048-0560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073961066 | Michelle Marie Brown | Nurse Practitioner | 16515 S 40th St Ste 135, Phoenix, AZ 85048-0560 | 2016-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164062618 | Smile Dentistry Pllc | Dentist | 1238 E. Chandler Blvd. #101, Phoenix, AZ 85048 | 2020-01-13 |
| 1558924415 | Ahwatukee Orthodontic Associates Inc | Dentist | 16611 S. 40th Street, Suite 110, Phoenix, AZ 85048 | 2019-04-17 |
| 1699299560 | Brianna Alean Kinsey | Student in an Organized Health Care Education/Training Program | 16214 S. 1st Street, Phoenix, AZ 85048 | 2017-08-01 |
| 1497278113 | Teague Duncan Wilson | Specialist/Technologist | 3305 E Nighthawk Way, Phoenix, AZ 85048 | 2017-07-25 |
| 1730550146 | Jennifer Zazueta | Physician Assistant | 4126 E Nighthawk Way, Phoenix, AZ 85048 | 2015-10-12 |
| 1235551904 | Louise Marie Braunbeck | Physical Therapy Assistant | 16649 S 24th Place, Phoenix, AZ 85048 | 2014-01-14 |
| 1780026260 | Erin Onacki | Social Worker | 4530 E Muirwood Dr. Suite 103, Phoenix, AZ 85048 | 2013-07-24 |
| 1649528720 | Cody A Morales | Social Worker | 4654 E Mountain Vista Dr, Phoenix, AZ 85048 | 2012-08-21 |
| 1417168287 | Lori Lynn Haas | Social Worker | 4025 E. Chandler Boulevard, #70-e7, Phoenix, AZ 85048 | 2007-05-24 |
| 1285847210 | Jonne Amorette Housh | Nurse Practitioner | 4545 E Chandler Blvd., Phoenix, AZ 85048 | 2007-05-07 |
| Find all providers in zip 85048 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456783 | Brenna Michelle Clements | Nurse Practitioner | 3226 W Donatello Dr, Phoenix, AZ 85086-2200 | 2020-10-27 |
| 1932712825 | Grace Wanjiru Karanja Adams | Nurse Practitioner | 200 E Thomas Rd Unit 217, Phoenix, AZ 85012-1182 | 2020-08-28 |
| 1649895574 | Jozzette Elaine Rubio | Nurse Practitioner | 1924 E Vineyard Rd, Phoenix, AZ 85042-5793 | 2020-06-16 |
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1568087955 | Christa Ann Colvin | Nurse Practitioner | 6800 E Mayo Blvd Apt 1211, Phoenix, AZ 85054-5619 | 2020-06-10 |
| 1497378541 | Sharon Uchechi Joshua | Nurse Practitioner | 9117 W Virginia Ave, Phoenix, AZ 85037-4233 | 2020-05-23 |
| 1992326102 | Ashley Elizabeth Hall | Nurse Practitioner | 15810 N 18th St, Phoenix, AZ 85022-3302 | 2020-04-28 |
| 1750916797 | Sebastian Freeman Smith | Nurse Practitioner | 2716 W Cedarwood Ln, Phoenix, AZ 85045-2224 | 2020-03-10 |
| 1295365724 | Jessica Veasy | Nurse Practitioner | 7251 N 23rd Ave, Phoenix, AZ 85021-7714 | 2020-01-23 |
| 1568092526 | Anuradha Lingamneni | Nurse Practitioner | 2313 E Dry Wood Rd, Phoenix, AZ 85024-8688 | 2020-01-18 |
| Find all providers in PHOENIX | ||||
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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.