KEENON HARRIS (NPI# 1376021709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376021709 |
| Entity Type | Individual |
| Full Name | KEENON HARRIS |
| Practice Address |
5038 Champions Dr Lufkin TX 75901-7346 |
| Mailing Address |
8527 Powell Ridge Dr Cypress TX 77433-6690 |
| Practice Telephone | 3236872012 |
| Mailing Telephone | 3236872012 |
| Enumeration Date | 2018-07-28 |
| Last Update Date | 2018-07-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
40550 | TX | Speech, Language and Hearing Service Providers |
| Street Address |
5038 CHAMPIONS DR |
| City | LUFKIN |
| State | TX |
| Zip Code | 75901-7346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902392194 | Jessica Conn | Speech-Language Pathologist | 5038 Champions Dr, Lufkin, TX 75901-7346 | 2018-07-10 |
| 1740767508 | Ashley Ann Brown | Specialist/Technologist | 5038 Champions Dr, Lufkin, TX 75901-7346 | 2018-07-25 |
| 1720574957 | Tara Clark | Speech-Language Pathologist | 5038 Champions Dr, Lufkin, TX 75901-7346 | 2018-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518485176 | Dana Caroline Carter | Physical Therapist | 211 South Timberland, Lufkin, TX 75901 | 2017-09-05 |
| 1720433865 | Irene Ifeyinwa Uke | Nurse Practitioner | East Texas Behavioral Health Network, 2001 S Medford Dr., Lufkin, TX 75901 | 2016-04-26 |
| 1225316417 | Anupama Singh Thapar | Dentist | 1809 Tulane Dr, Aspen Dental, Lufkin, TX 75901 | 2011-07-22 |
| 1679889901 | A 2 Y Investments | Durable Medical Equipment & Medical Supplies | 5038 Champions Drive, Lufkin, TX 75901 | 2010-08-24 |
| 1477731321 | Anita K Scoggins | Speech-Language Pathologist | 4100 S Medford Dr Ste 208, Lufkin, TX 75901 | 2008-02-02 |
| 1891982104 | Assisted Living Concepts Inc | Assisted Living Facility | 406 Gobblers Knob Road, Lufkin, TX 75901 | 2007-10-01 |
| 1114077724 | Burke Center | Intermediate Care Facility, Mental Illness | 1010 Cunningham, Lufkin, TX 75901 | 2007-01-12 |
| 1609941921 | Norman Allan Beard | Hearing Instrument Specialist | 2001 N Timberland Dr., Lufkin, TX 75901 | 2006-11-21 |
| 1619077708 | Brian Thomas Spore | Family Medicine | 3804 S Medford, Lufkin, TX 75901 | 2006-09-25 |
| 1689634495 | Charles Bryan Pool | Chiropractor | 1400 E Denman Avenue, Lufkin, TX 75901 | 2006-03-24 |
| Find all providers in zip 75901 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457987109 | Sandra Hinojosa | Specialist/Technologist | 103 Curry St, Lufkin, TX 75901-5127 | 2020-03-13 |
| 1841824497 | Danielle Lorin Lincoln | Specialist/Technologist | 415 S 1st St # 300a, Lufkin, TX 75901-3863 | 2020-02-22 |
| 1942786900 | Ranece Alafia Beckford | Specialist/Technologist | 106 E Lufkin Ave, Lufkin, TX 75901-2806 | 2018-07-12 |
| 1710488069 | Je'lisa Nicole Jordan | Specialist/Technologist | 924 Walker Loop, Lufkin, TX 75904-2833 | 2018-02-22 |
| 1427666932 | Jaclyn Pena | Specialist/Technologist | 415 S 1st St Ste 300, Lufkin, TX 75901-3800 | 2020-07-21 |
| 1104442508 | Robert Derrick Douglas | Specialist/Technologist | 1302 Tom Temple Dr, Lufkin, TX 75904-5581 | 2020-06-22 |
| 1578045944 | Chidinma Nebo | Specialist/Technologist | 106 E Lufkin Ave, Lufkin, TX 75901-2806 | 2018-09-03 |
| 1740767508 | Ashley Ann Brown | Specialist/Technologist | 5038 Champions Dr, Lufkin, TX 75901-7346 | 2018-07-25 |
| 1134605645 | Julio Cesar Ramos | Specialist/Technologist | 106 E Lufkin Ave, Lufkin, TX 75901-2806 | 2018-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001677 | Stephanie Lee Perez | Specialist/Technologist | 3200 Colonial Pkwy Apt 920, Belton, TX 76513-5841 | 2020-10-22 |
| 1750989257 | Paulina Ivonne Ramirez | Specialist/Technologist | 6903 Pamlico Dr, El Paso, TX 79912-3105 | 2020-10-15 |
| 1063010239 | Gabriella Anne Ruffo | Specialist/Technologist | 17823 Riata Canyon Ct, Cypress, TX 77433-2361 | 2020-10-11 |
| 1922605963 | Julianna Ruiz | Specialist/Technologist | 11709 Broadmoor Dr, Dallas, TX 75218-2053 | 2020-10-02 |
| 1134726151 | Autumn Kelsey Lee | Specialist/Technologist | 250 Bens Trl Apt 522, Fort Worth, TX 76120-7000 | 2020-10-02 |
| 1578160602 | Alexis Scoggin | Specialist/Technologist | 1908 Warwick Cir W, Longview, TX 75601-3139 | 2020-10-01 |
| 1184231524 | Andrea Wenceslada Guerrero | Specialist/Technologist | 222 N Expressway 77/83 Ste 104, Brownsville, TX 78521-2258 | 2020-09-29 |
| 1831706944 | Madeline Lee Lawson | Specialist/Technologist | 10018 Locke Ln, Houston, TX 77042-3102 | 2020-09-24 |
| 1215543665 | Leslie Ednis Pena | Specialist/Technologist | 1005 E 10th St Ste A, Weslaco, TX 78596-5133 | 2020-09-21 |
| 1982210472 | Juana Maria Perez | Specialist/Technologist | 5505 Burton Ln, Corpus Christi, TX 78411-4613 | 2020-09-20 |
| 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.