KAY L HARRIS (NPI# 1144547878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144547878 |
| Entity Type | Individual |
| Full Name | KAY L HARRIS |
| Credential | RD |
| Practice Address |
760 Golf View Dr Unit 200 Medford OR 97504-9685 |
| Practice Telephone | 5416184400 |
| Practice Fax Number | 5416184406 |
| Mailing Telephone | 5416184400 |
| Mailing Fax Number | 5416184406 |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2010-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
660 | OR | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114013380 | Kay L Harris | Technician/Technologist | 1348 E Bristol Rd, Burton, MI 48529-2212 | 2006-10-05 |
| 1447552351 | Kay L Harris | Student in an Organized Health Care Education/Training Program | 2005 Knight Lane Bldg H, Medical Staff Services Navy Medicine Support Command, Jacksonville, FL 32212 | 2010-11-29 |
| 1447484860 | Kay Lynn Harris | Nurse Practitioner | 2605 Albert Pike Rd, Hot Springs National Park, AR 71913-4514 | 2009-05-13 |
| Street Address |
760 GOLF VIEW DR UNIT 200 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-9685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225222599 | Kumar Pannagasayanam Dinesh | Specialist | 760 Golf View Dr Unit 200, Medford, OR 97504-9685 | 2007-08-30 |
| 1801151568 | Gheorghe Ciprian Cazan | Specialist | 760 Golf View Dr Unit 200, Medford, OR 97504-9685 | 2012-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 133VN1005X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Renal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760971246 | Kohleen E Ervin | Dietitian, Registered | 916 Sw 17th St Ste 100, Redmond, OR 97756-2572 | 2018-05-09 |
| 1659802650 | Paula J. Staab | Dietitian, Registered | 1130 Nw 22nd Ave, Suite 640, Portland, OR 97210-2900 | 2017-03-22 |
| 1811237563 | Jennifer Fritzsche | Dietitian, Registered | 703 Ne Hancock St, Portland, OR 97212-3955 | 2013-02-18 |
| 1003109042 | Kara Marie Odiaga | Dietitian, Registered | 703 Ne Hancock St, Portland, OR 97212-3955 | 2011-05-24 |
| 1417282682 | Lois Amy Tobin | Dietitian, Registered | 6902 Se Lake Rd, Suite 302, Milwaukie, OR 97267-2148 | 2009-10-06 |
| 1447423132 | Therese L Olsen | Dietitian, Registered | 930 Sw Abbey St, Newport, OR 97365-4820 | 2008-04-02 |
| 1467593111 | Jessie Pavlinac | Dietitian, Registered | 3181 Sw Sam Jackson Park Rd, Ohsu - Uhs18, Portland, OR 97239-3011 | 2007-02-08 |
Please comment or provide details below to improve the information on KAY L HARRIS.
| 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.