KIMBERLY M HARRIS APN NPI 1306380555

NPI Information

NPI: 1306380555
Provider Name: KIMBERLY M HARRIS, APN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: TELEMEDICO PHYSICIANS SC

PECOS Registration: Yes

Address:
1340 CHARLES ST STE 300
ROCKFORD, IL
ZIP 61104
Phone: (779) 696-5888
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Kimberly M Harris, APN is a family nurse practitioner in Rockford, IL with 8 years of experience. Kimberly M Harris, APN NPI is 1306380555. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1340 CHARLES ST STE 300
ROCKFORD, IL
ZIP 61104-200
Phone: (779) 696-5888
Fax: (779) 696-5898

The NPI 1306380555 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/7/2016 and was last updated on 6/28/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	209.015193	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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