KIMBERLY STEPHENIA HARRIS


Address: 380 Knollwood St # 505, Winston Salem, NC 27103-1884
Phone: 8333572966

KIMBERLY STEPHENIA HARRIS (NPI# 1760919187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760919187
Entity Type Individual
Full Name KIMBERLY STEPHENIA HARRIS
Practice Address 380 Knollwood St # 505
Winston Salem
NC 27103-1884
Mailing Address 5035 Longbrook Cir
Winston Salem
NC 27105-4047
Practice Telephone 8333572966
Mailing Telephone 3364144531
Enumeration Date 2017-05-16
Last Update Date 2020-06-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
270275 NC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC NORTH CAROLINA DRIVERS LICENSE 5417123 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
102 Pomona Dr, Greensboro, NC 274071616 3362990000

Other Providers KIMBERLY HARRIS

NPI Name Taxonomy Address Enumeration
1669084828 Kimberly O Harris Behavioral Analyst 225 E. Rincon St., Suite 219, Corona, CA 92879 2020-08-19
1144706557 Kimberly Harris Specialist/Technologist 3221 Havenwood Ct, Palatine, IL 60067-9054 2018-07-18
1114437852 Kimberly Zella Harris Social Worker 1841 Fairmount Ave, Cincinnati, OH 45214-1224 2017-10-09
1043751449 Kimberly Harris Nurse Practitioner 4805 Purdue Dr, Boynton Beach, FL 33436-7721 2017-03-17
1669842878 Kimberly Harris Counselor 7425 Los Guilicos Rd., Dept. H, Santa Rosa, CA 95409 2015-09-30
1609262351 Kimberly Harris Dietitian, Registered 191 Brassie Ln, Summerfield, NC 27358-8612 2015-04-09
1952795940 Kimberly Harris Contractor 23044 Crossley Ave, Hazel Park, MI 48030-1602 2015-03-27
1356731947 Kimberly Malcomb Harris Speech-Language Pathologist 1056 S. Hwy 27, Suite 9, Somerset, KY 42501 2015-02-03
1124432729 Kimberly Michele Harris Licensed Practical Nurse 1711 Newton Ave, Dayton, OH 45406-4044 2014-06-12
1033558861 Kimberly A Harris Nurse Practitioner 1100 Northmeadow Parkway, Suite 108, Roswell, GA 30076-3871 2013-06-14

Office Location

Street Address 380 KNOLLWOOD ST # 505
City WINSTON SALEM
State NC
Zip Code 27103-1884

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992747307 Katrina Annette Denton Nurse Practitioner 380 Knollwood St # 505, Winston Salem, NC 27103-1884 2006-06-11
1023556461 Darrell Lee Dedeaux Nurse Practitioner 380 Knollwood St # 505, Winston Salem, NC 27103-1884 2017-02-06
1487015376 Stefanie T Livingston Nurse Practitioner 380 Knollwood St # 505, Winston Salem, NC 27103-1884 2016-03-19
1548516669 Nantachie Marie Fowler Nurse Practitioner 380 Knollwood St # 505, Winston Salem, NC 27103-1884 2012-07-26
1932366077 Syna Nmn Barber Nurse Practitioner 380 Knollwood St # 505, Winston Salem, NC 27103-1884 2008-05-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124648126 Kelly Anne Wales Pharmacist 3917-a Westpoint Boulevard, Winston-salem, NC 27103 2020-04-20
1386281533 Elena Mcginty Nurse Practitioner 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 2019-12-06
1992359442 Madeline Pryor Pharmacist 255 Charlois Drive, Winston Salem, NC 27103 2019-08-01
1215599584 Palmetto Oxygen LLC Durable Medical Equipment & Medical Supplies 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 2019-07-07
1548734718 Trivy Johnson Specialist 1384-b Westgate Center Dr., Winston Salem, NC 27103 2019-01-21
1447745047 Novant Health Rehabilitation Hospital of Winston-salem, LLC Rehabilitation Hospital 2475 Hillcrest Center Circle, Winston Salem, NC 27103 2018-06-26
1346740206 Joseph Miller Physical Therapist 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 2018-02-17
1548779101 Kristin Blow Counselor 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 2017-09-27
1891213443 Alisha Dawn Wilson Occupational Therapy Assistant 2101 Homestead Hills Drive, Winston Salem, NC 27103 2017-09-05
1588186969 Brandy Wilson Social Worker 153 Cameron Way Circle, Winston Salem, NC 27103 2017-07-07
Find all providers in zip 27103

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619576857 Candace Allen Nurse Practitioner 1215 W Clemmonsville Rd, Winston Salem, NC 27127-4521 2020-10-20
1386281533 Elena Mcginty Nurse Practitioner 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 2019-12-06
1427604883 Jeanette Renea Torain Nurse Practitioner 145 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6983 2019-08-12
1841853876 Sarah Monzella Pack Nurse Practitioner 3878 Oxford Station Way Ste A, Winston Salem, NC 27103-1340 2019-04-16
1720547425 Ya Huster Taylor Nurse Practitioner 1005 Treble Ct, Winston Salem, NC 27127-5971 2019-03-13
1710450127 Assumpta Kagaba Nurse Practitioner 3811 White Petals Ct, Winston Salem, NC 27107-6052 2019-01-08
1982189460 Erica Segers Nurse Practitioner 4157 Kennison Village Dr, Winston Salem, NC 27127-6694 2018-10-01
1710433495 Ikeshia Knight Nurse Practitioner 1831 Cahill Dr, Winston Salem, NC 27127-8828 2016-08-31
1487023495 Porcial Washington Wilson Nurse Practitioner 755 Highland Oaks Dr Ste 202, Winston Salem, NC 27103-7106 2015-09-20
1316323124 Elizabeth Arpe Goodman Nurse Practitioner 191 Wallburg High Point Rd, Winston Salem, NC 27107-9835 2015-08-04
Find all providers in WINSTON SALEM

Competitor

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City WINSTON SALEM
Zip Code 27103

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Dataset Information

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.

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