BRENDA E HARRIS (NPI# 1952520009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952520009 |
| Entity Type | Individual |
| Full Name | BRENDA E HARRIS |
| Credential | PA |
| Practice Address |
702 N Main St Roxboro NC 27573-4755 |
| Practice Telephone | 3365999271 |
| Practice Fax Number | 3365990969 |
| Mailing Telephone | 3365999271 |
| Mailing Fax Number | 3365990969 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
101191 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5903636 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225649130 | Brenda Lee Harris | Technician | 12 Angler St, Buckhannon, WV 26201-3833 | 2020-08-13 |
| 1518316934 | Brenda Harris | Home Health Aide | 137 S John Hix St, Westland, MI 48186-3745 | 2016-06-07 |
| 1891159943 | Brenda Harris | Home Health Aide | 2225 Ilion Ave N, Minneapolis, MN 55411-1921 | 2016-04-05 |
| 1386037554 | Brenda Harris | Counselor | 5234 W State Route 63, Lebanon, OH 45036-8202 | 2015-03-12 |
| 1992052484 | Brenda Frances Harris | Speech-Language Pathologist | 1807 222nd Pl, Sauk Village, IL 60411-5047 | 2012-08-14 |
| 1124327218 | Brenda Taylor Harris | Social Worker | 500 Foothill Boulevard, Salt Lake City, UT 84148-0001 | 2011-03-15 |
| 1467589317 | Brenda Harris | Acupuncturist | 309 West Broadway Street, Decorah, IA 52101 | 2007-02-27 |
| 1801457486 | Brenda Marie Harris | Massage Therapist | 3307 Evergreen Way Ste 601, Washougal, WA 98671-2062 | 2019-06-25 |
| 1619535986 | Brenda Harris | Nurse Practitioner | 850 Country Manor Ln, Creve Coeur, MO 63141-6651 | 2019-06-03 |
| 1376947325 | Brenda Harris | Skilled Nursing Facility | 1204 Frye St, Athens, TN 37303-3052 | 2014-10-20 |
| Street Address |
702 N MAIN ST |
| City | ROXBORO |
| State | NC |
| Zip Code | 27573-4755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104478882 | Kaitlyn Kirby Lytle | Physician Assistant | 702 N Main St, Roxboro, NC 27573-4755 | 2019-07-12 |
| 1487219879 | Mary Elizabeth Matthews | Physician Assistant | 702 N Main St, Roxboro, NC 27573-4755 | 2019-05-01 |
| 1780160135 | Quinn Demott | Nurse Practitioner | 702 N Main St, Roxboro, NC 27573-4755 | 2018-07-18 |
| 1639609415 | Jessica Anne Cooper | Social Worker | 702 N Main St, Roxboro, NC 27573-4755 | 2017-06-14 |
| 1598291163 | John Illsley | Physician Assistant | 702 N Main St, Roxboro, NC 27573-4755 | 2017-05-02 |
| 1609263599 | Alisa Paliy | Psychiatry & Neurology | 702 N Main St, Roxboro, NC 27573-4755 | 2015-04-19 |
| 1275948804 | Rivkah Krevsky | Dentist | 702 N Main St, Roxboro, NC 27573-4755 | 2014-06-23 |
| 1811239288 | Aileen V Searles | Pediatrics | 702 N Main St, Roxboro, NC 27573-4755 | 2013-03-22 |
| 1881948339 | Angela J Good | Nurse Practitioner | 702 N Main St, Roxboro, NC 27573-4755 | 2012-11-06 |
| 1568726610 | Stephanie George | Dentist | 702 N Main St, Roxboro, NC 27573-4755 | 2012-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043786783 | Caitlin Elissa Seidler | Physician Assistant | 910 N Madison Blvd Ste B, Roxboro, NC 27573 | 2018-10-21 |
| 1467821801 | Iris W Jackola | Nurse Practitioner | 796 Doctor's Court, Roxboro, NC 27573 | 2015-09-16 |
| 1568897213 | Person County Group Homes, Inc. | Community/Behavioral Health | 607 Henry Street, Roxboro, NC 27573 | 2013-09-12 |
| 1760820336 | J-1 Consultants LLC | Psychologist | 315 Old Allensville Road, Roxboro, NC 27573 | 2013-06-05 |
| 1932445749 | Ronnie Lee Chandler | Pharmacist | 109 North Main St., Roxboro, NC 27573 | 2012-12-26 |
| 1154559581 | Roxboro Medaccess Primary Care | Clinic/Center | 3762 Durham Road, Roxboro, NC 27573 | 2009-06-24 |
| 1699922302 | Bruce Wayne Walsh | Counselor | 355 C1 S. Madison Blvd, Roxboro, NC 27573 | 2008-08-25 |
| 1033232020 | Person County Department of Social Services | Durable Medical Equipment & Medical Supplies | 355-b South Madison Blvd, Roxboro, NC 27573 | 2007-04-06 |
| 1417095886 | Thomas Jones Day Jr. | Dentist | 407 North Main St, Roxboro, NC 27573 | 2007-02-01 |
| 1578622288 | Corey Wayne Wilson | Dentist | 112 West Barden Street, Roxboro, NC 27573 | 2006-12-08 |
| Find all providers in zip 27573 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043786783 | Caitlin Elissa Seidler | Physician Assistant | 910 N Madison Blvd Ste B, Roxboro, NC 27573 | 2018-10-21 |
| 1821020223 | Peter W. Majka Jr. | Physician Assistant | 3762 Durham Rd # A, Roxboro, NC 27573-2741 | 2006-07-07 |
| 1215161781 | Michele B Kessler | Physician Assistant | 228 S Madison Blvd, Roxboro, NC 27573-5428 | 2009-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403884 | Billy Scott II | Physician Assistant | 3000 Rogers Rd Ste 100, Wake Forest, NC 27587-5745 | 2020-10-05 |
| 1982213765 | Michaela Lynne Mcbride | Physician Assistant | 9541 Kings Parade Blvd Unit 107, Charlotte, NC 28273-5819 | 2020-07-28 |
| 1386260347 | Elizabeth Warrington Maiche | Physician Assistant | 113 Montgomery Dr, Saluda, NC 28773-7787 | 2020-06-24 |
| 1831715663 | John Wheary | Physician Assistant | 3233 Austin Ave, New Bern, NC 28562-7084 | 2020-06-17 |
| 1629692439 | Julie Anne Augustine | Physician Assistant | 718 S Green St, Winston Salem, NC 27101-5112 | 2020-06-08 |
| 1659995710 | Kristopher Neal Priddy | Physician Assistant | 405 Forest Hill Dr, Shelby, NC 28150-5520 | 2020-06-04 |
| 1710500558 | Christian Wright Fulenwider | Physician Assistant | 104 Linden St, Morganton, NC 28655-3788 | 2020-05-27 |
| 1366065500 | Lisa Lynn Carder | Physician Assistant | 904 Foxcroft Cir Apt D, Shelby, NC 28152-6868 | 2020-05-22 |
| 1982234282 | Brandon Sorkin | Physician Assistant | 280 Executive Park Drive, Suite 100, Concord, NC 28025-2802 | 2020-01-25 |
| 1245860618 | Robert Maughan | Physician Assistant | 129 Bryce Creek Ln, Fayetteville, NC 28303-4981 | 2020-01-24 |
| Find all providers with the same taxonomy | ||||
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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.