CHARMAINE DIANE HARRIS (NPI# 1093285611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093285611 |
| Entity Type | Individual |
| Full Name | CHARMAINE DIANE HARRIS |
| Credential | CRNP |
| Practice Address |
3719 Dauphin St Mobile AL 36608 |
| Mailing Address |
3719 Dauphin St Mobile AL 36608-1753 |
| Practice Telephone | 2513824154 |
| Mailing Telephone | 2513824154 |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2019-03-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 1-098080 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2562 Meadowview Dr, Mobile, AL 366959383 | 2513824154 | |
| 3719 Dauphin St, Mobile, AL 36608 | 2513824154 |
| Street Address |
3719 DAUPHIN ST |
| City | MOBILE |
| State | AL |
| Zip Code | 36608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556082 | Robert Machel Weinacker IIi | Specialist | 3719 Dauphin St, Suite 100, Mobile, AL 36608-1753 | 2005-05-27 |
| 1013531367 | Matt Donald Paulson | Radiologic Technologist | 3719 Dauphin St, Mobile, AL 36608-1753 | 2020-06-02 |
| 1932721875 | Laurie Anne Lindsey | Nurse Practitioner | 3719 Dauphin St, Mobile, AL 36608-1753 | 2020-05-14 |
| 1730715525 | Kathryn Dale West | Nurse Practitioner | 3719 Dauphin St, Mobile, AL 36608-1753 | 2020-03-12 |
| 1275163503 | Nina Wilson Smelley | Nurse Practitioner | 3719 Dauphin St, Mobile, AL 36608-1753 | 2020-01-26 |
| 1346802808 | Allie Moore | Nurse Practitioner | 3719 Dauphin St, Mobile, AL 36608-1753 | 2019-07-05 |
| 1023675584 | Allie Laura Haynes | Physician Assistant | 3719 Dauphin St, Mobile, AL 36608-1753 | 2019-05-21 |
| 1144713165 | Joy Vigneulle | Nurse Practitioner | 3719 Dauphin St, Mobile, AL 36608-1753 | 2018-06-13 |
| 1568954816 | William Lawrence Gafford IIi | Nurse Anesthetist, Certified Registered | 3719 Dauphin St, Mobile, AL 36608-1753 | 2018-06-02 |
| 1912409053 | Marcie Bankston Mcphillips | Nurse Practitioner | 3719 Dauphin St, Mobile, AL 36608-1753 | 2018-03-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
| 1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
| 1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
| Find all providers in zip 36608 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467070300 | Sarah Katherine Clarke | Nurse Practitioner | 861 Pinemont Dr, Mobile, AL 36609-3037 | 2020-07-07 |
| 1104448919 | Thaila Keodouangdy | Nurse Practitioner | 9350 Ofallon Dr, Mobile, AL 36695-9813 | 2020-05-14 |
| 1427616861 | Shannon Lebakken | Nurse Practitioner | 5235 Rangeline Service Rd S Ste A, Mobile, AL 36619-9541 | 2019-05-31 |
| 1811453178 | Kimberly Michelle Webb | Nurse Practitioner | 6701 Airport Blvd Ste A107, Mobile, AL 36608-6774 | 2019-02-12 |
| 1891218194 | Transitional Care LLC | Nurse Practitioner | 1725 Springhill Avenue, Mobile, AL 36604 | 2017-07-19 |
| 1750714572 | Stephanie Wilkes-heritage | Nurse Practitioner | 10631 Hunters Ridge Dr, Mobile, AL 36695-9247 | 2013-08-15 |
| 1801149166 | Joseph Hunt Booth Jr. | Nurse Practitioner | 53 Houston St, Mobile, AL 36606-1430 | 2012-10-23 |
| 1548556947 | Natasha H Andrews | Nurse Practitioner | 116 Carondolet Court West, Mobile, AL 36608 | 2011-06-23 |
| 1164729406 | Ameshia D Bush Taylor | Nurse Practitioner | 1311 Lola St, Mobile, AL 36603-5478 | 2011-02-23 |
| 1447553649 | Alethea Nicole Hill | Nurse Practitioner | 2261 Costarides Street, Mobile, AL 36617 | 2010-12-09 |
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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.