KAYLA ANN HARRIS (NPI# 1992236681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992236681 |
| Entity Type | Individual |
| Full Name | KAYLA ANN HARRIS |
| Other Name | KAYLA ANN LANGE |
| Credential | DO |
| Practice Address |
1110 Yankee Doodle Rd Eagan MN 55121-2092 |
| Practice Telephone | 6514543970 |
| Mailing Telephone | 6514543970 |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2020-07-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 64236 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063814044 | Kayla Harris | Student in an Organized Health Care Education/Training Program | 2265 Longvista Ln Unit 103, Fairborn, OH 45324-1157 | 2014-09-22 |
| 1750991014 | Kayla Ann Harris | Pharmacist | 12 High St, Lewiston, ME 04240-7676 | 2020-08-03 |
| 1114545464 | Kayla Bailey Harris | Nurse Practitioner | 1645 W Government St Ste F, Brandon, MS 39042-4602 | 2020-07-13 |
| 1922646801 | Kayla Harris | Behavior Technician | 3601 E 11 Mile Rd, Warren, MI 48092-2878 | 2019-12-11 |
| 1932761723 | Kayla Samone Harris | Pharmacist | 2351 Dawson Rd, Albany, GA 31707-2435 | 2019-07-02 |
| 1093277527 | Kayla Harris | Behavior Technician | 421 Fayetteville St Ste 1100, Raleigh, NC 27601-3000 | 2019-04-03 |
| 1225592405 | Kayla Harris | Case Manager/Care Coordinator | 449 E Saint Peter St, New Iberia, LA 70560-3752 | 2019-01-22 |
| 1760978159 | Kayla Harris | Technician, Other | 1104 W River Rd, Detroit Lakes, MN 56501-2723 | 2018-07-09 |
| 1730676909 | Kayla Harris | Behavior Technician | 2630 W Rumble Rd, Modesto, CA 95350-0155 | 2018-04-13 |
| 1134659014 | Kayla E Harris | Behavioral Analyst | 5511 Edmondson Pike Ste 105, Nashville, TN 37211-6852 | 2017-06-14 |
| Street Address |
1110 YANKEE DOODLE RD |
| City | EAGAN |
| State | MN |
| Zip Code | 55121-2092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477528180 | Eleanor-irene B Bucu | Pediatrics | 1110 Yankee Doodle Rd, Eagan, MN 55121-2092 | 2006-02-17 |
| 1972047298 | Meghan Tift | Nurse Practitioner | 1110 Yankee Doodle Rd, Eagan, MN 55121-2092 | 2016-12-05 |
| 1871948588 | Jeffrey Sachs | Family Medicine | 1110 Yankee Doodle Rd, Eagan, MN 55121-2092 | 2016-05-01 |
| 1124439658 | Leela Krummel | Family Medicine | 1110 Yankee Doodle Rd, Eagan, MN 55121-2092 | 2014-05-19 |
| 1477963635 | Jamie Dyer | Family Medicine | 1110 Yankee Doodle Rd, Eagan, MN 55121-2092 | 2014-04-28 |
| 1033553987 | Kristina Marie Schultz | Family Medicine | 1110 Yankee Doodle Rd, Eagan, MN 55121-2092 | 2013-04-22 |
| 1285976670 | Katelyn Elizabeth Bezek | Family Medicine | 1110 Yankee Doodle Rd, Eagan, MN 55121-2092 | 2013-03-23 |
| 1952662694 | Jessica Lin Hansen | Pediatrics | 1110 Yankee Doodle Rd, Eagan, MN 55121-2092 | 2012-05-30 |
| 1023376431 | Dylan August Bindman | Family Medicine | 1110 Yankee Doodle Rd, Eagan, MN 55121-2092 | 2012-04-24 |
| 1760777338 | Ryan Michael Mccarthy | Podiatrist | 1110 Yankee Doodle Rd, Eagan, MN 55121-2092 | 2011-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443850 | Birchwood Dental, LLC | Dentist | 3356 Sherman Crt Ste 101, Eagan, MN 55121 | 2020-09-28 |
| 1811552813 | Clare Muyskens | Physical Therapist | 3305 Central Park Commons Dr, Eagan, MN 55121 | 2019-05-06 |
| 1154986479 | Elp Right Living Health LLC | Assisted Living Facility | 3035 Eagandale Pl #101, Eagan, MN 55121 | 2019-05-02 |
| 1467908699 | Hy Vee Inc | Pharmacy | 1500 Central Park Commons Drive, Eagan, MN 55121 | 2016-08-28 |
| 1962861005 | Lakeline Transportation LLC | Non-emergency Medical Transport (VAN) | 1416 Shoreline Dr, Eagan, MN 55121 | 2016-02-17 |
| 1467838615 | John Berchem | Physical Therapist | 1284 Coporate Center Drive, #500, Eagan, MN 55121 | 2015-08-10 |
| 1730426099 | Carole P Cohen | Occupational Therapist | 880 Blue Gentian Road, Ste # 190, Eagan, MN 55121 | 2013-01-07 |
| 1407102882 | Emergency Physicians Professional Association | Clinic/Center | 3010 Denmark Avenue, Eagan, MN 55121 | 2012-08-03 |
| 1851692289 | Eagan Family Chiropractic & Massage | Chiropractor | 1260 Yankee Doodle Road, Suite 100, Eagan, MN 55121 | 2010-11-17 |
| 1780805218 | Bridget Marie Mcconnell | Social Worker | 680 O'neill Drive, Eagan, MN 55121 | 2007-05-01 |
| Find all providers in zip 55121 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811231038 | Steven S Eisenberg | Family Medicine | 3610 Sunwood Trl, Eagan, MN 55123-2417 | 2012-11-15 |
| 1649587403 | John Granville Ward | Family Medicine | 1634 Murphy Pkwy, Home Address No Business Address, Eagan, MN 55122-1753 | 2010-08-31 |
| 1528252764 | Lucas Joel Hammell | Family Medicine | 1654 Diffley Rd Ste 100, Eagan, MN 55122-2237 | 2007-08-30 |
| 1063489540 | Charles E Pogemiller Sr. | Family Medicine | 1215 Town Centre Dr, Eagan, MN 55123-1033 | 2006-03-03 |
| 1972575470 | David J Caccamo | Family Medicine | 930 Blue Gentian Rd Ste 1000, Eagan, MN 55121-1675 | 2006-02-07 |
| 1700858974 | Raina L Young | Family Medicine | 1654 Diffley Rd, Eagan, MN 55122-2237 | 2006-02-02 |
| 1376515536 | Michelle L Knight | Family Medicine | 1654 Diffley Rd Suite 100 - Mail Stop 34701a, Healthpartners Eagan Clinic, Eagan, MN 55122-2237 | 2006-02-02 |
| 1255310298 | Tara L Broadwater | Family Medicine | 3647 Windtree Ct, Eagan, MN 55123-1314 | 2006-01-10 |
| 1992780712 | Leslie Glen Massoglia | Family Medicine | 4845 Safari Ct N, Eagan, MN 55122-2617 | 2005-12-14 |
| 1265416572 | Suzanne F Permuth | Family Medicine | 1885 Plaza Dr, Park Nicollet Clinic Eagan, Eagan, MN 55122-2612 | 2005-11-30 |
| Find all providers in EAGAN | ||||
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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.