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KANTRELL RAISHANDA HARRIS P.A.- C.
NPI 1992075162
Physician Assistant in Livingston, TX

Active since January 05, 2012PECOS Enrolled
309 HIGHWAY 59 LOOP S, LIVINGSTON, TX 77352(936) 327-1055 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Kantrell Raishanda Harris P.a.- C. NPPES

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

KANTRELL RAISHANDA HARRIS P.A.- C. (NPI 1992075162) is an individual physician assistant in Livingston, Texas, licensed in Texas (PA07665) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992075162
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKANTRELL RAISHANDA HARRISCredential: P.A.- C.
Location Address309 HIGHWAY 59 LOOP SLivingston, TX 77352-9012
Mailing Address108 S William Barnett AveCleveland, TX 77327-4542 · (281) 592-9775
Phone(936) 327-1055
Sole ProprietorNo
Enumeration DateJanuary 5, 2012
Last NPPES UpdateJuly 16, 2026
NPPES CertifiedJuly 16, 2026
✔ NPI 1992075162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA07665
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
309 HIGHWAY 59 LOOP S, Livingston, TX 77352
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kantrell Raishanda Harris P.a.- C. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kantrell Harris's NPI number?

The NPI number for Kantrell Harris is 1992075162. It was assigned to this individual provider in the NPPES registry on January 5, 2012.

Where is Kantrell Harris located?

Kantrell Harris practices at 309 Highway 59 Loop S, Livingston, TX 77352. The listed phone number is (936) 327-1055.

What is Kantrell Harris's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kantrell Harris enrolled in Medicare?

Yes. Kantrell Harris is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kantrell Harris was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.