Active NPIIndividual provider

Chivas M Harris, FNP-C

Nurse Practitioner, Family in Dallas, Texas

NPI Number1639647357
Practice location
325 N Saint Paul St Ste 3100, Dallas, TX 75201-3923
Fax
617-928-8401
Last updated
November 9, 2026

Chivas Michelle Harris is a Nurse Practitioner, Family based in Dallas, TX. Chivas Michelle Harris practices in Dallas, TX and has the professional credentials of FNP-C. The NPI Number for Chivas Michelle Harris is 1639647357 and holds a License No. APRN-NP221502 (GA). The current practice location address for Chivas Michelle Harris is 325 N Saint Paul St Ste 3100, Dallas, TX 75201-3923 and can be reached out via phone at 617-505-1520 and via fax at 617-928-8401.

Provider Profile Details

NPI Number
1639647357
Provider Name
Chivas Michelle Harris
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
325 N Saint Paul St Ste 3100, Dallas, TX 75201-3923
Phone Number
617-505-1520
Fax Number
617-928-8401
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
November 12, 2018
Last Update Date
November 9, 2026
Certification Date
November 9, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
325 N Saint Paul St Ste 3100
Dallas, TX 75201-3923
City
Dallas
State
Texas
Zip
75201-3923
Phone Number
617-505-1520
Fax Number
617-928-8401
Dallas, TX 75201Get directions →

Provider Business Mailing Address Details

Address
109 State St Ste 5
Boston, MA 02109-2906
City
Boston
State
MA
Zip
02109-2906
Phone Number
617-505-1520
Fax Number
617-928-8401

License Information

License Number (1)
APRN-NP221502
License State (1)
GA
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X · Primary
License Number (2)
26NJ15164100
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X
License Number (3)
C-RXN.0103041-C-NP
License State (3)
CO
Taxonomy (3)
Nurse Practitioner, Family · 363LF0000X
License Number (4)
209031690
License State (4)
IL
Taxonomy (4)
Nurse Practitioner, Family · 363LF0000X
License Number (5)
F350249
License State (5)
NY
Taxonomy (5)
Nurse Practitioner, Family · 363LF0000X
License Number (6)
71015712A
License State (6)
IN
Taxonomy (6)
Nurse Practitioner, Family · 363LF0000X
License Number (7)
1076214
License State (7)
TX
Taxonomy (7)
Nurse Practitioner, Family · 363LF0000X
License Number (8)
APRN11031619
License State (8)
FL
Taxonomy (8)
Nurse Practitioner, Family · 363LF0000X
License Number (9)
84989
License State (9)
NM
Taxonomy (9)
Nurse Practitioner, Family · 363LF0000X
License Number (10)
RN221502
License State (10)
GA
Taxonomy (10)
Registered Nurse · 163W00000X
License Number (11)
5020950
License State (11)
NC
Taxonomy (11)
Nurse Practitioner, Family · 363LF0000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Chivas M Harris, FNP-C?

The NPI number of Chivas M Harris, FNP-C is 1639647357. It was assigned on November 12, 2018 and is currently active in the NPPES registry.

What is the specialty of Chivas M Harris, FNP-C?

Chivas M Harris, FNP-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in GA under license number APRN-NP221502.

Where does Chivas M Harris, FNP-C practice?

The practice location is 325 N Saint Paul St Ste 3100, Dallas, TX 75201-3923. The office can be reached at 617-505-1520 (phone) or 617-928-8401 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639647357 directly on the NPPES registry website.

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