STEPHANIE A HARRIS (NPI# 1912480229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912480229 |
| Entity Type | Individual |
| Full Name | STEPHANIE A HARRIS |
| Credential | CNP |
| Practice Address |
3535 Southern Blvd Kettering OH 45429-1221 |
| Mailing Address |
3131 Newmark Dr Ste 220 Miamisburg OH 45342-5400 |
| Practice Telephone | 9373958166 |
| Mailing Telephone | 9374388910 |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2019-07-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN.CNP. | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0322794 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Kettering Way, Franklin, OH 450051155 | 9374584700 | |
| 1141 N Monroe Dr, Xenia, OH 453851619 | 9373522500 | |
| 1997 Miamisburg Centerville Rd, Centerville, OH 454593811 | 9374016228 | |
| 3535 Pentagon Blvd, Beavercreek, OH 454311705 | 9377024500 | |
| 4000 Miamisburg Centerville Rd, Miamisburg, OH 453427615 | 9373848791 | |
| 405 W Grand Ave, Dayton, OH 454057538 | 9377233211 | |
| 450 Washington Jackson Rd, Eaton, OH 453208699 | 9374568376 | |
| 600 W Main St, Troy, OH 453732928 | 9379807010 | 9379807019 |
| 6147 State Route 122, Middletown, OH 450055201 | 5132613410 | |
| 8701 Old Troy Pike, Huber Heights, OH 454241066 | 9375583338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831706613 | Stephanie Harris | Behavior Technician | 590 Kaiwiki Rd, Hilo, HI 96720-9706 | 2020-09-25 |
| 1790336766 | Stephanie Harris | Speech-Language Pathologist | 514 Willow Creek Dr, Temple, GA 30179-3972 | 2019-09-21 |
| 1679079917 | Stephanie Melton Harris | Psychologist | 8270 Willow Oaks Co Dr Fl 3, Fairfax, VA 22031-4511 | 2018-04-04 |
| 1922558949 | Stephanie A Harris | Licensed Practical Nurse | 17034 130th Ave, Apt Gb, Jamaica, NY 11434-6001 | 2016-10-13 |
| 1518416304 | Stephanie Harris | Nurse Practitioner | 11710 Griffing Ave, Cleveland, OH 44120-3010 | 2016-09-22 |
| 1396107496 | Stephanie Harris | Counselor | 506 Standifer Ave, Monroe, LA 71202-5634 | 2016-03-28 |
| 1790036853 | Stephanie Harris | Social Worker | 944 New Britain Ave, West Hartford, CT 06110-2228 | 2012-09-28 |
| 1043590441 | Stephanie F. Harris | Dietitian, Registered | 131 Highspire Rd, Downingtown, PA 19335-4608 | 2011-08-17 |
| 1265720650 | Stephanie Shawn Harris | Chiropractor | 145 E College Dr, Suite 1, Durango, CO 81301-5468 | 2011-07-19 |
| 1124256649 | Stephanie Harris | Nurse Practitioner | 2344 South Church Street, Burlington, NC 27215 | 2009-06-23 |
| Street Address |
3535 SOUTHERN BLVD |
| City | KETTERING |
| State | OH |
| Zip Code | 45429-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124183 | David M Brouhard | Anesthesiology | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2005-06-16 |
| 1245846757 | Rachel Henderson | Pharmacist | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-09-21 |
| 1235745043 | Nipa Mukesh Patel | Pharmacist | 3535 Southern Blvd, Kettering, OH 45429-1298 | 2020-09-17 |
| 1104437425 | Stephanie Elizabeth Nicholls | Hospitalist | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-08-11 |
| 1346865144 | Anesthesia Pearls, LLC | Nurse Anesthetist, Certified Registered | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-06-08 |
| 1568087351 | Pearl Lee | Nurse Anesthetist, Certified Registered | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-06-08 |
| 1922631761 | Michael Patrick Lorey | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-02-20 |
| 1801446315 | Madison A Tate | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2019-09-17 |
| 1962058966 | Joshua Caleb Courlas | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2019-08-15 |
| 1134775273 | Jason Raymond Leigh | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2019-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
| 1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
| 1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
| 1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
| 1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
| Find all providers in zip 45429 | ||||
| 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 |
|---|---|---|---|---|
| 1508416173 | Jacqueline Degen | Nurse Practitioner | 580 Lincoln Park Boulevard, Suite 320, Kettering, OH 45429-3493 | 2019-09-16 |
| 1285293142 | Jacqueline Delaine Adrian | Nurse Practitioner | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2019-06-13 |
| 1972060424 | Asia Richardson | Nurse Practitioner | 3700 Southern Blvd Ste 401, Kettering, OH 45429 | 2019-02-20 |
| 1487131348 | Meghan Dean | Nurse Practitioner | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2018-07-24 |
| 1497264881 | Lucy Xayathone | Nurse Practitioner | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2017-09-28 |
| 1639698962 | Leah Marie Liddy | Nurse Practitioner | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2017-09-19 |
| 1093243420 | Eric E Bowers | Nurse Practitioner | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2017-05-30 |
| 1225565351 | Ashley Renee Miner | Nurse Practitioner | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2017-05-19 |
| 1144679937 | Nicholas Adrian | Nurse Practitioner | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2016-06-13 |
| 1528428802 | Mary Tankersley | Nurse Practitioner | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2016-03-01 |
| Find all providers in KETTERING | ||||
Please comment or provide details below to improve the information on STEPHANIE A HARRIS.
| 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.