Active NPI
Morgan Wilson
- Registered Dietitian
- Phoenix, AZ
National Provider Identifier
1073712048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1421
- Practice address
- 26325 N Babbling Brook Dr
Phoenix, AZ 85083-6327 - Phone
- (405) 408-6745
- NPI assigned
- Jul 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1421 | OK | Primary |
Addresses
Primary practice location
26325 N Babbling Brook Dr
Phoenix, AZ 85083-6327
Mailing address
1608 Red Bud LN
McAlester, OK 74501-7063
Phone (405) 408-6745
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1421 | OK | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185840000000",
"number": "1073712048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1608 RED BUD LN",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745017063",
"telephone_number": "405-408-6745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26325 N BABBLING BROOK DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850836327",
"telephone_number": "405-408-6745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "MORGAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-11",
"last_updated": "2007-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "1421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.