CAROLYN K HARRIS NP - NPI 1083697262 - Nurse Practitioner in Lynchburg, VA

Q: What is Carolyn Harris's NPI number?

The NPI number for Carolyn Harris is 1083697262. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Q: What is Carolyn Harris's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Carolyn Harris was last updated on March 6, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Carolyn K Harris Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLYN K HARRIS NP (NPI 1083697262) is an individual nurse practitioner in Lynchburg, Virginia, licensed in Virginia (0017000378) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1083697262

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCAROLYN K HARRISCredential: NP

Location Address2215 LANDOVER PLLynchburg, VA 24501-2115

Mailing AddressPo Box 11889Lynchburg, VA 24506-1889 · (434) 947-3944 · Fax (434) 544-2316

Phone(434) 947-3944

Fax(434) 544-2316

Sole ProprietorNo

Enumeration DateNovember 22, 2005

Last NPPES UpdateMarch 6, 2009

✔ NPI 1083697262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in VA · 0017000378

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2215 LANDOVER PL, Lynchburg, VA 24501

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Other Identifiers 9

Other014912C58Medicare Individual Ptan Effective To 09/01/07

OtherC08183Medicare Group Number Prior To 09/01/07

Other1407936941Cvfp Site Id

Medicare PINMC10994

Other1528155892Corporate Npi Number

OtherC03658Medicare Group Ptan Effective 09/01/07

Other013531C83Medicare Provider Number Prior To 09/01/07

OtherP00667138Medicare Railroad

Medicaid1083697262VA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SALLY- ANN TRACY MCINTOSH MD

Internal Medicine