KERRY SHAWN HARRIS (NPI# 1164738399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164738399 |
| Entity Type | Individual |
| Full Name | KERRY SHAWN HARRIS |
| Credential | CNP |
| Practice Address |
4351 E Lohman Ave Ste 320 Las Cruces NM 88011-8262 |
| Practice Telephone | 5755220116 |
| Practice Fax Number | 5755220094 |
| Mailing Telephone | 5755220116 |
| Mailing Fax Number | 5755220094 |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2020-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP-54594 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
CNS-00220 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | MEDICARE PTAN | 407592YY54 | 01 |
| NM | 95135791 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952685745 | Kerry Ann Harris | Speech-Language Pathologist | 53 Bedford Ave, Middletown, NY 10940-6414 | 2011-09-28 |
| 1043336449 | Kerry Lynn Harris | Occupational Therapy Assistant | 100 High Point Dr, Kane, PA 16735-9704 | 2007-03-21 |
| Street Address |
4351 E LOHMAN AVE STE 320 |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-8262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174749014 | Jennifer Agosta | Internal Medicine | 4351 E Lohman Ave Ste 320, Las Cruces, NM 88011-8262 | 2007-04-18 |
| 1033521257 | Omar Hashmi | Surgery | 4351 E Lohman Ave Ste 320, Las Cruces, NM 88011 | 2014-05-22 |
| 1497983274 | Renata Brodsky | Surgery | 4351 E Lohman Ave Ste 320, Las Cruces, NM 88011-8262 | 2009-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114531100 | Anneliese K. Glasgow | Nurse Practitioner | 2515 Tiffany Dr, Las Cruces, NM 88011-0880 | 2020-09-07 |
| 1285272831 | Shannon Vane | Nurse Practitioner | 190 Howard Pl Ste A, Las Cruces, NM 88011-8155 | 2019-12-13 |
| 1992351647 | Rito Nelson Jasmin Daan | Nurse Practitioner | 2502 Velarde Pl, Las Cruces, NM 88011-4313 | 2019-08-16 |
| 1447806047 | Sabrina Nicole Bazan | Nurse Practitioner | 345 N San Pedro St, Las Cruces, NM 88001-3462 | 2019-08-11 |
| 1245798586 | Bernardo Black | Nurse Practitioner | 748 Suzanne Ave, Las Cruces, NM 88005-1298 | 2019-03-05 |
| 1538638267 | Christina Lucero | Nurse Practitioner | 584 Cedardale Loop, Las Cruces, NM 88005-0932 | 2018-11-26 |
| 1174091144 | Thomas Hayth | Nurse Practitioner | 3485 Northrise Dr Ste 1, Las Cruces, NM 88011-6839 | 2018-11-08 |
| 1033611793 | Elsie Creason | Nurse Practitioner | 520 Old Farm Rd, Las Cruces, NM 88005-3862 | 2018-03-08 |
| 1639677289 | Melissa J Cometti | Nurse Practitioner | 2735 Northrise Dr Ste B, Las Cruces, NM 88011-0897 | 2018-01-29 |
| 1063929248 | Melissa Michelle Livingston | Nurse Practitioner | 2100 S Triviz Dr Ste F, Las Cruces, NM 88001-0601 | 2018-01-09 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
Please comment or provide details below to improve the information on KERRY SHAWN 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.