Active NPI
Gwendolyn Rae Morrow, ARNP
- Obstetrics & Gynecology Nurse Practitioner
- Lowell, MA
National Provider Identifier
1053626044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- RN2338721
- Practice address
- 275 Varnum Ave Ste 203
Lowell, MA 01854-2109 - Phone
- (978) 458-4300
- NPI assigned
- Aug 13, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | RN2338721 | MA | Primary |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | ARNP 9179255 | FL |
Addresses
Primary practice location
275 Varnum Ave Ste 203
Lowell, MA 01854-2109
Mailing address
3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (214) 341-9813
Other practice location 1
1223 Gateway Dr Ste 1D
Melbourne, FL 32901-2607
Phone (321) 729-6166
Other practice location 2
7125 Murrell Rd Ste E
Melbourne, FL 32940-7999
Phone (321) 242-8790 ext. 2458
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004537201 | Medicaid | FL | |
| 110159202A | Medicaid | MA | |
| RN2338721 | Other | MA | CNP |
| 12357383 | Other | CAQH |
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9179255 | FL | MD | Obstetrics & Gynecology Nurse Practitioner |
| RN2338721 | MA | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Womencare PA | 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.
-
- Specialist
- Orlando, FL
- NPI 1366529042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580688000000",
"number": "1053626044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 S FISKE BLVD",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329554306",
"telephone_number": "214-341-9813",
"fax_number": "321-951-7408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 VARNUM AVE STE 203",
"city": "LOWELL",
"state": "MA",
"postal_code": "018542109",
"telephone_number": "978-458-4300"
}
],
"practiceLocations": [
{
"address_1": "1223 Gateway Dr Ste 1D",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329012607",
"country_code": "US",
"telephone_number": "321-729-6166",
"fax_number": "321-409-1181",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7125 Murrell Rd Ste E",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329407999",
"country_code": "US",
"telephone_number": "321-242-8790 x2458",
"fax_number": "321-424-1541",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORROW",
"first_name": "GWENDOLYN",
"middle_name": "RAE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-13",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "MA",
"license": "RN2338721",
"primary": true
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "FL",
"license": "ARNP 9179255",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004537201",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110159202A",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CNP",
"identifier": "RN2338721",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12357383",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.