Active NPI
Bodil Lynn Morris, CRNP
- Adult Health Nurse Practitioner
- Laurel, MD
National Provider Identifier
1023056207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- R081714
- Practice address
- 13801 Belle Chasse Blvd
Unit 211
Laurel, MD 20707-6386 - Phone
- (407) 232-5062
- NPI assigned
- Jun 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R081714 | MD | Primary |
Addresses
Primary practice location
13801 Belle Chasse Blvd
Unit 211
Laurel, MD 20707-6386
Mailing address
7601 Carroll Ave
Suite 280
Takoma Park, MD 20912-6386
Phone (301) 891-6100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y063K | Other | FL | BCBS |
| 306796300 | Medicaid | FL |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R081714 | MD | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304467200000",
"number": "1023056207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7601 CARROLL AVE",
"address_2": "SUITE 280",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209126386",
"telephone_number": "301-891-6100",
"fax_number": "301-891-5836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13801 BELLE CHASSE BLVD",
"address_2": "UNIT 211",
"city": "LAUREL",
"state": "MD",
"postal_code": "207076386",
"telephone_number": "407-232-5062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "BODIL",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2011-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MD",
"license": "R081714",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y063K",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "306796300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.