KOURTNEY ALEXANDRIA HARRIS (NPI# 1255996534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255996534 |
| Entity Type | Individual |
| Full Name | KOURTNEY ALEXANDRIA HARRIS |
| Practice Address |
309 E Wardell Dr Pembroke NC 28372-7998 |
| Mailing Address |
60 Commerce Plaza Cir Pembroke NC 28372-7386 |
| Practice Telephone | 9105211464 |
| Practice Fax Number | 9105211852 |
| Mailing Telephone | 9105212900 |
| Mailing Fax Number | 9107759165 |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2019-05-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCAS-24288 | NC | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
P012087 | NC | Behavioral Health & Social Service Providers |
| Street Address |
309 E WARDELL DR |
| City | PEMBROKE |
| State | NC |
| Zip Code | 28372-7998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962977 | Kayla J Oxendine | Counselor | 86 Threehunts Drive, Pembroke, NC 28372 | 2020-11-03 |
| 1720688401 | Melissa Claire Kratz | Pharmacist | 930 Hwy 711 East, Pembroke, NC 28372 | 2020-10-30 |
| 1841775681 | Nikki Locklear | Counselor | 86 Three Hunts Dr., Pembroke, NC 28372 | 2018-09-27 |
| 1043703218 | Julie Anne Harrison-swartz | Nurse Practitioner | Uncp Student Health, 113 Hawk Drive, Pembroke, NC 28372 | 2018-06-12 |
| 1134627508 | William Dixon | Specialist/Technologist | One University Drive, Pembroke, NC 28372 | 2018-01-31 |
| 1740796291 | A Primary Choice, Inc. | In Home Supportive Care | 208 Union Chapel Road, Suite D, Pembroke, NC 28372 | 2017-12-20 |
| 1578924130 | William Joshua Johnson | Nurse Practitioner | 3334 Moss Neck Road, Pembroke, NC 28372 | 2016-03-10 |
| 1831560234 | Sungjun Jung | Pharmacist | 930 Nc Hwy 711 E, Pembroke, NC 28372 | 2015-10-12 |
| 1154715027 | Lilly Marie Shorter | Counselor | 86 Three Hunt Drive, Pembroke, NC 28372 | 2015-03-27 |
| 1487046728 | Eye Heart You Home Health, LLC | Public Health or Welfare | 925 University Road, Pembroke, NC 28372 | 2015-02-24 |
| Find all providers in zip 28372 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679198410 | Lorri Michelle Strickland | Counselor | 1040 Us Hwy 280 W, Pembroke, GA 31321 | 2020-06-08 |
| 1841775681 | Nikki Locklear | Counselor | 86 Three Hunts Dr., Pembroke, NC 28372 | 2018-09-27 |
| 1245601475 | Stephanie Hunt | Counselor | 30 Drakes Branch Dr, Pembroke, NC 28372-7325 | 2015-10-14 |
| 1154715027 | Lilly Marie Shorter | Counselor | 86 Three Hunt Drive, Pembroke, NC 28372 | 2015-03-27 |
| 1235338666 | Gail Denise Hanna | Counselor | 201 Livermore Dr, 2nd Floor, Pembroke, NC 28372-7322 | 2007-07-16 |
| 1063554004 | Robeson Health Care Corporation | Counselor | 309 East Wardell Drive, Suite A, Pembroke, NC 28372-7998 | 2007-02-13 |
| 1386652725 | Uhs of Westwood Pembroke | Counselor | 199 Oak St, Pembroke, MA 02359-1912 | 2006-08-03 |
| 1578188215 | Dora Lena Jacobs | Counselor | 86 Three Hunts Drive, Pembroke, NC 28372 | 2020-06-09 |
| 1811558661 | Sabrina L Spaulding | Counselor | 86 Three Hunts Drive, Pembroke, NC 28372 | 2019-06-24 |
| 1740790666 | Lisa Marie Locklear | Counselor | 305 E 3rd St, Pembroke, NC 28372-7991 | 2017-10-05 |
| Find all providers in PEMBROKE | ||||
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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.