DOROTHEA BRADY HARRIS (NPI# 1578923520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578923520 |
| Entity Type | Individual |
| Full Name | DOROTHEA BRADY HARRIS |
| Other Name | DOROTHEA BRADY HOLT |
| Credential | CRNP |
| Practice Address |
1720 Knowles Rd Phenix City AL 36869-7135 |
| Mailing Address |
12101 Woodcrest Executive Dr Ste 210 Saint Louis MO 63141-5047 |
| Practice Telephone | 3143170600 |
| Practice Fax Number | 3143170606 |
| Mailing Telephone | 3143170600 |
| Mailing Fax Number | 3143170606 |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 1-137711 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144763822 | Dorothea Harris | Social Worker | 4432 Chicago Ave, Minneapolis, MN 55407-3519 | 2016-11-29 |
| Street Address |
1720 KNOWLES RD |
| City | PHENIX CITY |
| State | AL |
| Zip Code | 36869-7135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306833694 | Diversicare Leasing Corp. | Skilled Nursing Facility | 1720 Knowles Rd, Phenix City, AL 36869-7135 | 2005-10-01 |
| 1588166581 | Brandy Bratcher Bickley | Speech-Language Pathologist | 1720 Knowles Rd, Phenix City, AL 36869-7135 | 2018-03-06 |
| 1073052403 | Alabama Post-acute Medical Service 1 PC | Hospitalist | 1720 Knowles Rd, Phenix City, AL 36869-7135 | 2017-02-17 |
| 1639536477 | Corris Horne | Occupational Therapist | 1720 Knowles Rd, Phenix City, AL 36869-7135 | 2016-01-25 |
| 1366809477 | Jennifer Marie Widener | Speech-Language Pathologist | 1720 Knowles Rd, Phenix City, AL 36869-7135 | 2016-01-20 |
| 1588021604 | Briana Brown | Physical Therapist | 1720 Knowles Rd, Phenix City, AL 36869-7135 | 2016-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366066144 | Jones Drugs LLC | Pharmacy | 3482 Crosswinds Dr, Phenix City, AL 36869 | 2020-06-08 |
| 1093048720 | Lesia Smith | Counselor | 370 Martin Luther King Jr. Parkway South, Phenix City, AL 36869 | 2009-09-14 |
| 1760641500 | Kzb | Public Health or Welfare | 1114th 16th Court South, Phenix, AL 36869 | 2008-06-06 |
| 1265829337 | Chelsea Scarlett Navarro | Specialist/Technologist | 2700 College Dr Apt 1803, Phenix City, AL 36869-2025 | 2015-04-16 |
| 1760804231 | Eric Graves Sr. | Social Worker | 1 Colonial Ct, Phenix City, AL 36869-2618 | 2014-01-17 |
| 1093371940 | Meleesa Geathers | Contractor | 8 Clayton Ct, Phenix City, AL 36869-3462 | 2019-05-16 |
| 1962960740 | Latasha A Green | Contractor | 25 Kalin St, Phenix City, AL 36869-3469 | 2019-03-11 |
| 1528697224 | Christina Marie Covington | Psychologist | 5 Balsa Dr, Phenix City, AL 36869-3486 | 2020-04-04 |
| 1255890885 | Tremekia Lashae Weston | Behavior Technician | 244 Highway 165, Phenix City, AL 36869-3487 | 2019-03-13 |
| 1578039913 | Kendra Lyons-stovall | Behavioral Analyst | 40 Red Maple Dr, Phenix City, AL 36869-3493 | 2018-10-23 |
| Find all providers in zip 36869 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063927101 | Juanita Jones-harris | Nurse Practitioner | 5009 Riverchase Dr Ste 500, Phenix City, AL 36867-7490 | 2017-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356948368 | Starr Ellen Valerio | Nurse Practitioner | 115 Rachel Dr Nw, Huntsville, AL 35806 | 2020-10-02 |
| 1336756600 | Vivian Elizabeth Jackson | Nurse Practitioner | 1216 25th St N, Birmingham, AL 35234-3139 | 2020-09-30 |
| 1104430446 | Victory Health of Oneonta LLC | Nurse Practitioner | 28252 Al-75, Oneonta, AL 35121 | 2020-09-03 |
| 1467070300 | Sarah Katherine Clarke | Nurse Practitioner | 861 Pinemont Dr, Mobile, AL 36609-3037 | 2020-07-07 |
| 1104448919 | Thaila Keodouangdy | Nurse Practitioner | 9350 Ofallon Dr, Mobile, AL 36695-9813 | 2020-05-14 |
| 1447872320 | Irina Guerard | Nurse Practitioner | 8886 Lake View Dr, Fairhope, AL 36532-6939 | 2020-05-13 |
| 1528680915 | Pure Integrative Wellness and Hydration LLC | Nurse Practitioner | 2703 University Blvd E Ste B, Tuscaloosa, AL 35404-3226 | 2020-05-08 |
| 1811517402 | Lillian Teicher Branham | Nurse Practitioner | 382 Slaughter Rd, Madison, AL 35758-2008 | 2020-04-23 |
| 1265061006 | Margaret Kelly Mcclusky | Nurse Practitioner | 10147 Wildwood Ln, Cottondale, AL 35453-1117 | 2020-04-03 |
| 1427686062 | Tara Cooley | Nurse Practitioner | 909 Tracey Ln, Decatur, AL 35601-7701 | 2020-03-30 |
| Find all providers with the same taxonomy | ||||
| City | PHENIX CITY |
| Zip Code | 36869 |
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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.