Janelle Simone Morrissey, MSOTR/L

Primary specialty

SpecialistTaxonomy code 174400000X

License

0119004356 Issued in VA

Practice address

2765 Jefferson Davis Hwy
Suite 209
Stafford, VA 22554-8331

Phone

(540) 720-2261

Fax

(540) 720-5660

NPI assigned

Feb 23, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Janelle Simone Laventure Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1361577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361577600000",
    "number": "1073853396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13890 BRADDOCK RD",
            "address_2": "SUITE 205",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212435",
            "telephone_number": "540-720-2261",
            "fax_number": "540-720-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2765 JEFFERSON DAVIS HWY",
            "address_2": "SUITE 209",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225548331",
            "telephone_number": "540-720-2261",
            "fax_number": "540-720-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISSEY",
        "first_name": "JANELLE",
        "middle_name": "SIMONE",
        "credential": "MSOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-23",
        "last_updated": "2013-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0119004356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANELLE",
            "last_name": "LAVENTURE",
            "middle_name": "SIMONE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Specialist in Stafford, VA
• Providers in Stafford, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2013; 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.