Individual provider Active NPI

Andrea Joy Morris, PNP-PC

  • Pediatric Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1053073064
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
238338 Issued in AZ
Practice address
595 N Dobson Rd Ste A18
Chandler, AZ 85224-4237
Phone
(480) 821-1400
NPI assigned
Oct 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 238338 AZ Primary

Addresses

Primary practice location

595 N Dobson Rd Ste A18
Chandler, AZ 85224-4237

Mailing address

595 N Dobson Rd Ste A18
Chandler, AZ 85224-4237
Phone (480) 821-1400

Other practice location 1

552 W Gum Tree Ave
Queen Creek, AZ 85140-8055
Phone (320) 761-1247

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
238338AZMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hearts Pediatrics PastSince Oct 10, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1053073064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 N DOBSON RD STE A18",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244237",
            "telephone_number": "480-821-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 N DOBSON RD STE A18",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244237",
            "telephone_number": "480-821-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "552 W Gum Tree Ave",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851408055",
            "country_code": "US",
            "telephone_number": "320-761-1247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "ANDREA",
        "middle_name": "JOY",
        "credential": "PNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "238338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.