LATISHA HARRIS (NPI# 1245601137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245601137 |
| Entity Type | Individual |
| Full Name | LATISHA HARRIS |
| Practice Address |
307 Kendrick Estates Dr Jonesboro GA 30238-2196 |
| Practice Telephone | 7704718037 |
| Practice Fax Number | 7704718037 |
| Mailing Telephone | 7704718037 |
| Mailing Fax Number | 7704718037 |
| Enumeration Date | 2015-10-17 |
| Last Update Date | 2015-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
390588082 | GA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073706 | Latisha S Harris | Pharmacist | 8074 Rolling Rd, Springfield, VA 22153-2928 | 2020-11-05 |
| 1548768419 | Latisha Harris | Behavior Technician | 7860 Mission Center Ct Ste 100, San Diego, CA 92108-1330 | 2018-01-25 |
| Street Address |
307 KENDRICK ESTATES DR |
| City | JONESBORO |
| State | GA |
| Zip Code | 30238-2196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700398690 | Felicia M Mack | Clinic/Center | 307 Kendrick Estates Dr, Jonesboro, GA 30238-2196 | 2017-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366969636 | K&p Gentle Hnads Homecare | Home Health | 772 Pointe South Pkwy, Apt. 501, Jonesboro, GA 30238 | 2017-08-27 |
| 1568991214 | Rehab Medical, Inc | Durable Medical Equipment & Medical Supplies | 8568 Highway 85, Jonesboro, GA 30238 | 2017-06-07 |
| 1821472077 | Surgivue First Assisting | Nurse Practitioner | 5865 Sinclair Way, Jonesboro, GA 30238 | 2015-07-17 |
| 1518384106 | Visions of Life Behavioral Health Services, Incorporated | Counselor | 754 Chapman Street, Jonesboro, GA 30238 | 2014-03-21 |
| 1942560206 | Terri L Lee | Counselor | 7899 Waterwheel Way, Jonesboro, GA 30238 | 2012-05-21 |
| 1265704985 | Visiting Homecare Support Services, Inc. | Home Health | 10886 Tara Village Way, Jonesboro, GA 30238 | 2012-01-27 |
| 1518297175 | Heavenly Assisted Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10555 Aspenwood Ct, Jonesboro, GA 30238 | 2010-01-05 |
| 1649419821 | Carmen Melton Douglas | Speech-Language Pathologist | 10354 Shepperton Court, Jonesboro, GA 30238 | 2009-02-12 |
| 1205050259 | Caryn Ann Grzesiakowski | Chiropractor | 809 Flint River Road, Suite #4, Jonesboro, GA 30238 | 2007-04-12 |
| 1548325483 | Janet Musser Granski | Social Worker | 110 North Bend Court, Jonesboro, GA 30238 | 2006-12-22 |
| Find all providers in zip 30238 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386097913 | Georgia Peach Health Care | Clinic/Center | 6909 Tara Blvd, Jonesboro, GA 30236-1503 | 2016-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467068361 | Rc Chiropractic & Personal Injury Centers LLC | Clinic/Center | 3547 Peachtree Industrial Blvd Ste 10, Duluth, GA 30096-1419 | 2020-09-17 |
| 1467066639 | Luminous Care, LLC | Clinic/Center | 285 Boulevard Ne Ste 145, Atlanta, GA 30312-4204 | 2020-09-03 |
| 1558974709 | Medlife Healthcare | Clinic/Center | 2129 Friendship Rd, Flowery Branch, GA 30542 | 2020-08-27 |
| 1679181168 | Guardian Health Group | Clinic/Center | 6296 Cheatham Lake Dr Nw, Acworth, GA 30101-7642 | 2020-07-21 |
| 1851909857 | 100 Percent Nutrition LLC | Clinic/Center | 8425 Waldrip Rd, Gainesville, GA 30506-5774 | 2020-07-16 |
| 1487271342 | Temak Telehealth | Clinic/Center | 635 Granville Ct, Atlanta, GA 30328-3445 | 2020-06-26 |
| 1992321301 | Hope Harbor Wellness LLC | Clinic/Center | 126 Enterprise Path Ste 208, Hiram, GA 30141-2654 | 2020-06-22 |
| 1447875307 | Georgia Palliative Services, LLC | Clinic/Center | 3660 Cedarcrest Rd Ste 120, Acworth, GA 30101-8928 | 2020-06-16 |
| 1548884000 | 2 Wolves Inc | Clinic/Center | 783 S Main St Ste 5, Cleveland, GA 30528-4519 | 2020-06-01 |
| 1245860816 | The Wellness Sanctuary, Inc | Clinic/Center | 206 Rogers St Ne Apt 117, Atlanta, GA 30317-1035 | 2020-01-22 |
| Find all providers with the same taxonomy | ||||
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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.