Individual provider Active NPI

Martha A. Morrison, M.D.

  • Addiction Psychiatry Physician
  • Fayetteville, AR
National Provider Identifier
1013048701
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
C-5431 Issued in AR
Practice address
3715 N Business Dr
Suite 104
Fayetteville, AR 72703-5204
Phone
(479) 521-1532
Fax
(479) 521-4971
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X C-5431 AR Primary
Addiction Psychiatry Physician 2084P0802X 024467 GA

Addresses

Primary practice location

3715 N Business Dr
Suite 104
Fayetteville, AR 72703-5204

Mailing address

3715 N Business Dr
Suite 104
Fayetteville, AR 72703-5204
Phone (479) 521-1532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C-5431ARMDAddiction Psychiatry Physician
024467GAMDAddiction Psychiatry Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336521600000",
    "number": "1013048701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 N BUSINESS DR",
            "address_2": "SUITE 104",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035204",
            "telephone_number": "479-521-1532",
            "fax_number": "479-521-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 N BUSINESS DR",
            "address_2": "SUITE 104",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035204",
            "telephone_number": "479-521-1532",
            "fax_number": "479-521-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "MARTHA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2012-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "AR",
            "license": "C-5431",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "GA",
            "license": "024467",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.