Individual provider Active NPI

Velma Sue Morrisson, CFNP

  • Family Nurse Practitioner
  • New Albany, MS
National Provider Identifier
1043213853
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R566497 Issued in MS
Practice address
474 W Bankhead St
New Albany, MS 38652-3319
Phone
(662) 534-7777
Fax
(662) 534-3050
NPI assigned
May 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R566497 MS Primary

Addresses

Primary practice location

474 W Bankhead St
New Albany, MS 38652-3319

Mailing address

474 W Bankhead St
New Albany, MS 38652-3319
Phone (662) 534-7777

Other identifiers 1

IdentifierTypeStateIssuer
00112630MedicaidMS

Other names 1

  • Sue Morrisson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100622000744 MS Practitioner - Nurse Practitioner 3678585171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R566497MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hickory Flat Clinic, LLC Past Accepting new patients
Hickory Flat Family Clinic LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: velma.morrisson@acafcosl-ms.direct.office.nextgen.com
  • FHIR API: https://api.platform.athenahealth.com/8477/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1043213853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 W BANKHEAD ST",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523319",
            "telephone_number": "662-534-7777",
            "fax_number": "662-534-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 W BANKHEAD ST",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523319",
            "telephone_number": "662-534-7777",
            "fax_number": "662-534-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISSON",
        "first_name": "VELMA",
        "middle_name": "SUE",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R566497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00112630",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUE",
            "last_name": "MORRISSON",
            "credential": "CFNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Albany, MS

Sources for this page

Verify at the official NPI Registry.