WALTER ROBERT HARRIS (NPI# 1972139574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972139574 |
| Entity Type | Individual |
| Full Name | WALTER ROBERT HARRIS |
| Credential | ME |
| Practice Address |
30 Stonecrest Ct Shelbyville KY 40065-8128 |
| Practice Telephone | 5024370859 |
| Practice Fax Number | 5023247057 |
| Mailing Telephone | 5022320893 |
| Mailing Fax Number | 5023247057 |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2020-03-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205126992 | Walter David Harris | Obstetrics & Gynecology | 4485 Furling Ln, Destin, FL 32541-5331 | 2011-04-14 |
| 1992945430 | Walter Clyde Harris | Physician Assistant | 710 N Euclid St, Suite 201, Anaheim, CA 92801-4115 | 2009-02-24 |
| 1689730905 | Walter Harris | Ophthalmology | 255 S 17th St, Suite 1002, Philadelphia, PA 19103-6231 | 2006-12-29 |
| Street Address |
30 STONECREST CT |
| City | SHELBYVILLE |
| State | KY |
| Zip Code | 40065-8128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114922952 | Christopher J Theuer | Surgery | 30 Stonecrest Ct, Ste 104, Shelbyville, KY 40065-8128 | 2005-06-17 |
| 1568659498 | Shelby Counseling Associates, Psc | Counselor | 30 Stonecrest Ct, Ste 103, Shelbyville, KY 40065-8173 | 2007-09-25 |
| 1497964977 | Dmac, Psc | Chiropractor | 30 Stonecrest Ct, Ste. 102, Shelbyville, KY 40065-8128 | 2007-05-22 |
| 1366541971 | Surgical Associates Psc | Clinic/Center | 30 Stonecrest Ct, Suite 104, Shelbyville, KY 40065-8128 | 2006-09-21 |
| 1548282742 | Diana Cole | Chiropractor | 30 Stonecrest Ct, Ste 102, Shelbyville, KY 40065-8128 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013348242 | Elisa Sykes-brees | Counselor | 250 Alpine Drive, Shelbyville, KY 40065 | 2013-12-13 |
| 1073800512 | Mimi Y. R. Rayburn | Nurse Practitioner | 865 Old Taylorsville Rd, Shelbyville, KY 40065 | 2011-07-05 |
| 1124310677 | Amanda B Dassel | Pharmacist | 1605 Midland Trail, Shelbyville, KY 40065 | 2011-05-03 |
| 1639468812 | Tia M Alton | Pediatrics | 150 Frankfort Rd Ste 101, Shelbyville, KY 40065 | 2011-03-29 |
| 1699073338 | Emily Ann Waits | Dietitian, Registered | 615 11th Street, Shelby County Health Dept., Shelbyville, KY 40065 | 2011-03-04 |
| 1124335401 | Kelli L. Fetter | Occupational Therapist | 1900 Midland Trail, Ste 1 & 2, Shelbyville, KY 40065 | 2010-09-08 |
| 1083939425 | Marilyn Louise Rhoads | Licensed Practical Nurse | 615 Washington Street, Mercy Clinic, Shelbyville, KY 40065 | 2010-03-29 |
| 1154525277 | Dorman Preschool Center | Early Intervention Provider Agency | 719 Burks Branch Road, Shelbyville, KY 40065 | 2007-06-13 |
| 1194946368 | Joanna Sames | Pharmacist | 16 Village Plaza, Shelbyville, KY 40065 | 2007-05-02 |
| 1033298922 | Robyn A Keeling | Dentist | 502 Mount Eden Rd, Shelbyville, KY 40065 | 2006-11-03 |
| Find all providers in zip 40065 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679056899 | Debra Lynn Phillips | Counselor | 2434 E Sr 44, Shelbyville, IN 46176 | 2018-09-13 |
| 1588147037 | Grace House Ministries | Counselor | 703 S Harrison St, Shelbyville, IN 46176-2101 | 2018-09-11 |
| 1326096967 | Stacey Groves | Counselor | 7 E Hendricks St, Shelbyville, IN 46176-2124 | 2006-05-05 |
| 1467063362 | Jessica Renee Bradley | Counselor | 30 Stonecrest Ct Ste 100, Shelbyville, KY 40065-8128 | 2020-08-13 |
| 1174145619 | Jessica P Johnson | Counselor | 213 Midland Blvd, Shelbyville, KY 40065-7791 | 2020-05-07 |
| 1255961876 | Linda Marie Brown | Counselor | 213 Midland Blvd, Shelbyville, KY 40065-7791 | 2020-01-23 |
| 1558926709 | Kelly Hunter | Counselor | 213 Midland Blvd, Shelbyville, KY 40065-7791 | 2019-05-03 |
| 1568948305 | Amy Jo Clarey | Counselor | 101 E North 12th St, Shelbyville, IL 62565-9388 | 2018-07-16 |
| 1568593705 | Mary Cupp | Counselor | 250 Alpine Dr, Shelbyville, KY 40065-8880 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738741 | Tina Hacker | Counselor | Crossroads Treatment Centers, 1974 Walton Nicholson Rd, Independence, KY 41051 | 2020-10-26 |
| 1851998181 | Specialistsmat Psc | Counselor | 110 Chase Way Ste 2, Elizabethtown, KY 42701-7827 | 2020-10-09 |
| 1538774914 | Lynn Marie Richendollar | Counselor | 148 S. Nelson Park Rd, Paducah, KY 42001-4200 | 2020-09-11 |
| 1972114585 | Lynn Nicole Thompson | Counselor | 1621 Foxhaven Dr, Richmond, KY 40475-1056 | 2020-08-17 |
| 1700496569 | Nicole Kristina Doza | Counselor | 9720 Park Plaza Ave Unit 104, Louisville, KY 40241-2289 | 2020-08-06 |
| 1447860572 | Jordan Mceuen | Counselor | 645 S Roy Wilkins Ave Ste 100, Louisville, KY 40203-2072 | 2020-08-04 |
| 1285252080 | Shamara Huguely | Counselor | 455 Park Pl # 130, Lexington, KY 40511-1881 | 2020-07-08 |
| 1023633674 | Ky Behavioral Solutions | Counselor | 12700 Townepark Way Ste 341, Louisville, KY 40243-2381 | 2020-06-10 |
| 1730702788 | Ruth Gonia | Counselor | 2810 Rosewood Rd, La Grange, KY 40031-9323 | 2020-05-26 |
| 1063040871 | National Treatment Prevention and Education Center | Counselor | 6452 Alum Springs Rd, Danville, KY 40422-9054 | 2020-03-28 |
| Find all providers with the same taxonomy | ||||
| City | SHELBYVILLE |
| Zip Code | 40065 |
Please comment or provide details below to improve the information on WALTER ROBERT 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.