MEDICARE: ALYSHA HARRIS CHP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133NN1002X	Nutrition Education Nutritionist		MO
2	174400000X	Specialist

General Provider Information

NPI Number	:	1417521030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSHA HARRIS CHP

Provider Business Mailing Address
First Line	:	8160 N THOMAS MEYERS DR APT G
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64118-9512
Country	:	US
Telephone Number	:	816-602-6743
Fax Number	:

Provider Business Practice Location Address
First Line	:	190 NE 91ST ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64155-3329
Country	:	US
Telephone Number	:	816-602-6743
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2021
Last Update Date	:	02/12/2026

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