Individual provider Active NPI

Holly Nicole Morgan, APRN

  • Family Nurse Practitioner
  • Marina del Rey, CA
National Provider Identifier
1043982705
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11009965 Issued in FL
Practice address
4640 Admiralty Way
Marina del Rey, CA 90292
Phone
(888) 880-3451
NPI assigned
Oct 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-175612 AL
Family Nurse Practitioner 363LF0000X 11009965 FL Primary

Addresses

Primary practice location

4640 Admiralty Way
Marina del Rey, CA 90292

Mailing address

600 Dye St
Pensacola, FL 32534-9625
Phone (850) 380-8217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL, MI, MO, LA, IL, PA7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20211026000015 AL Practitioner - Nurse Practitioner 3577951524 Reassigns benefits to 1 organization
I20230621000045 FL Practitioner - Nurse Practitioner 3577951524
I20250528003191 MI Practitioner - Nurse Practitioner 3577951524
I20250723000260 MO Practitioner - Nurse Practitioner 3577951524 Reassigns benefits to 1 organization
I20250726000139 LA Practitioner - Nurse Practitioner 3577951524
I20250805003986 IL Practitioner - Nurse Practitioner 3577951524 Reassigns benefits to 1 organization
I20251011000015 PA Practitioner - Nurse Practitioner 3577951524

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Global Wound Care Medical GroupGroup PAC ID 9335504539, 19 clinicians

Practice addresses (Care Compare)

4001 W Devon Ave
Suite 300
Chicago, IL 60646-4538
Phone (312) 448-7701

7777 Bonhomme Ave
Suite 1800
Clayton, MO 63105-1931
Phone (314) 668-8653

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11009965FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Urgent Care LLC CurrentSince Sep 19, 2021 Accepting new patients
Rural Urgent Care LLC CurrentSince Sep 19, 2021 Accepting new patients

Locations

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

1500 1st Ave N
Birmingham, AL 35203
Phone (205) 314-3433

2134 Douglas Ave
Brewton, AL 36426
Phone (251) 236-4026

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

1026 S Eufaula Ave
Eufaula, AL 36027
Phone (334) 687-5775

Organizations & group practices 3

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": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1043982705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 DYE ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325349625",
            "telephone_number": "850-380-8217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 ADMIRALTY WAY",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "90292",
            "telephone_number": "888-880-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "HOLLY",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-01",
        "last_updated": "2023-07-07",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-175612",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11009965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

Verify at the official NPI Registry.