Individual provider Active NPI

Jacqueline Lorraine Morgante, RN

  • General Practice Registered Nurse
  • Madison Heights, MI
National Provider Identifier
1043967003
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
4704309352 Issued in MI
Practice address
32397 Concord Dr Apt F
Madison Heights, MI 48071-1204
Phone
(248) 242-3108
NPI assigned
Mar 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 4704309352 MI Primary

Addresses

Primary practice location

32397 Concord Dr Apt F
Madison Heights, MI 48071-1204

Mailing address

32397 Concord Dr Apt F
Madison Heights, MI 48071-1204
Phone (248) 242-4108

Other names 1

  • Ms. Jacqueline Lorraine Morgante Professional name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704309352MIMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1043967003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32397 CONCORD DR APT F",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711204",
            "telephone_number": "248-242-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32397 CONCORD DR APT F",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711204",
            "telephone_number": "248-242-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGANTE",
        "first_name": "JACQUELINE",
        "middle_name": "LORRAINE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MI",
            "license": "4704309352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "MORGANTE",
            "middle_name": "LORRAINE",
            "prefix": "MS.",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Madison Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.