Derek Morris, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209035638 Issued in IL

Practice address

202 W Jackson St
Carbondale, IL 62901-1409

Phone

(618) 457-3019

Fax

(618) 529-0425

NPI assigned

Sep 14, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1063323707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3988",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629023988",
            "telephone_number": "618-457-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W JACKSON ST",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011409",
            "telephone_number": "618-457-3019",
            "fax_number": "618-529-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "DEREK",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209035638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kushan D. Moonesinghe, M.D.
• Marci I Moore-Connelley, M.D.
• Brandy Moore
• Christopher C Moore, D.P.M.
• Diana B Moreland, PA-C
• Beth A Morrison, LCPC
• Milton Theodore Morter III, DC
• Samantha Ann Moskoff
• Chandrasekhar Reddy Motkar, MD
• Radbod J Movassagh, MD

• Nurse Practitioner in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.