JUSTIN HARRIS (NPI# 1487113304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487113304 |
| Entity Type | Individual |
| Full Name | JUSTIN HARRIS |
| Credential | DO |
| Practice Address |
119 Oakfield Dr Brandon FL 33511-5779 |
| Practice Telephone | 8136815551 |
| Practice Fax Number | 8139162944 |
| Mailing Telephone | 8136815551 |
| Mailing Fax Number | 8139162944 |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | FL | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619440112 | Justin Michael Harris | Chiropractor | 2014 E County Road 540a, Lakeland, FL 33813-3739 | 2019-01-07 |
| 1205179306 | Justin Robert Harris | Surgery | 4023 Pheasant Run, Holt, MI 48842-8772 | 2013-03-27 |
| 1225340763 | Justin Curtis Harris | Licensed Practical Nurse | 7863 Route 53, Bath, NY 14810-9524 | 2010-07-13 |
| 1093923872 | Justin Ray Harris Sr. | Military Health Care Provider | 581 'a' Street, Norfolk, VA 23511-2133 | 2007-05-18 |
| 1417994492 | Justin E Harris | Physical Therapist | 10511 19th Ave Se, Suite B, Everett, WA 98208-4279 | 2006-05-31 |
| 1811958416 | Justin D. Harris | Orthopaedic Surgery | 575 S. 70th Street, Suite 200, Lincoln, NE 68510-2471 | 2006-03-31 |
| 1740809672 | Justin Henry Washburn Harris | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2020-04-10 |
| 1528699881 | Justin Harris | Nurse Anesthetist, Certified Registered | 911 Bypass Rd Bldg A, Pikeville, KY 41501-1689 | 2020-01-27 |
| 1881173300 | Justin P Harris | Counselor | 1501 E El Paso St, Fort Worth, TX 76102-6700 | 2018-08-07 |
| 1952896870 | Justin Lane Harris | Dentist | 2431 W Main St Ste 601, Dothan, AL 36301-1270 | 2018-06-23 |
| Street Address |
119 OAKFIELD DR |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-5779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093799033 | Wayne Arthur Pickard | Anesthesiology | 119 Oakfield Dr, Brandon, FL 33511-5779 | 2005-12-02 |
| 1144829607 | Alexander Hamead Bogherie II | Registered Nurse | 119 Oakfield Dr, Brandon, FL 33511-5779 | 2020-10-25 |
| 1639785926 | Peerless Health Consulting LLC | Internal Medicine | 119 Oakfield Dr, Brandon, FL 33511-5779 | 2020-09-22 |
| 1346850765 | Daniela Karin Cardozo | Registered Nurse | 119 Oakfield Dr, Brandon, FL 33511-5779 | 2020-08-01 |
| 1184233041 | Roxanne Miller | Anesthesiologist Assistant | 119 Oakfield Dr, Brandon, FL 33511-5779 | 2020-07-27 |
| 1578181400 | Islen Bautista | Anesthesiologist Assistant | 119 Oakfield Dr, Brandon, FL 33511-5779 | 2020-07-07 |
| 1699398222 | Cd Medical Services Pa | Internal Medicine | 119 Oakfield Dr, Brandon, FL 33511-5779 | 2020-05-18 |
| 1558982785 | Amanda Renee Foresteire | Physician Assistant | 119 Oakfield Dr, Brandon, FL 33511-5779 | 2020-04-28 |
| 1780203935 | Rachel Lea Hartman | Student in an Organized Health Care Education/Training Program | 119 Oakfield Dr, Brandon, FL 33511-5779 | 2020-04-08 |
| 1467081208 | Elnara Muradova | Student in an Organized Health Care Education/Training Program | 119 Oakfield Dr, Brandon, FL 33511-5779 | 2020-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817838 | Ebony Symone' Woodson | Student in an Organized Health Care Education/Training Program | 288 Mount Helm Rd, Brandon, MS 39047-8462 | 2020-09-25 |
| 1417561614 | Shelly Ann Bilbro | Student in an Organized Health Care Education/Training Program | 836 Rushton Cir, Brandon, MS 39047-8170 | 2020-09-04 |
| 1295354785 | Ashley Karol Brown | Student in an Organized Health Care Education/Training Program | 201 Bellewood Dr, Brandon, MS 39042-3268 | 2020-04-14 |
| 1114555190 | Kevin Ceballos | Student in an Organized Health Care Education/Training Program | 119 Oakfield Dr Fl 33511, Brandon, FL 33511-5779 | 2020-03-27 |
| 1912539909 | Carolyna Danielle Perez | Student in an Organized Health Care Education/Training Program | 2612 Bermuda Lake Dr Apt 204a, Brandon, FL 33510-2290 | 2020-02-07 |
| 1568020964 | Purab Patel | Student in an Organized Health Care Education/Training Program | 2636 Bermuda Lake Dr Apt 203a, Brandon, FL 33510-2398 | 2019-05-31 |
| 1891292447 | Seth Lewis Maxwell | Student in an Organized Health Care Education/Training Program | 119 Oakfield Dr Fl 3, Brandon, FL 33511-5779 | 2018-04-10 |
| 1548790231 | Kenneth G Rosario Jr. | Student in an Organized Health Care Education/Training Program | 119 Oakfield Drive Brandon Florida 33511, Brandon, FL 33511 | 2017-06-14 |
| 1881047942 | Michael Udall Reid | Student in an Organized Health Care Education/Training Program | 500 Avalon Way Apt 309, Brandon, MS 39047-7546 | 2016-07-13 |
| 1578917563 | Alicia Sanchezcummings | Student in an Organized Health Care Education/Training Program | 231 Mason St, Brandon, FL 33511-5211 | 2016-04-16 |
| Find all providers in BRANDON | ||||
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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.