Individual provider Active NPI

Danielle Morrison, CRNP

  • Family Nurse Practitioner
  • Delray Beach, FL
National Provider Identifier
1073915518
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-128193 Issued in AL
Practice address
16244 S Military TRL
Delray Beach, FL 33484-6534
Phone
(561) 499-9506
Fax
(561) 499-0501
NPI assigned
Sep 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-128193 AL Primary

Addresses

Primary practice location

16244 S Military TRL
Delray Beach, FL 33484-6534

Mailing address

16244 S Military TRL
Delray Beach, FL 33484-6534
Phone (561) 499-9506

Other practice location 1

2241 Thornton Taylor Pkwy
Fayetteville, TN 37334-3637
Phone (256) 970-9622

Other identifiers 1

IdentifierTypeStateIssuer
Q025861MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Flscheduling@goldenvictorymedical.com

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
21780TNMDPharmacist
1-128193ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Internal Medicine Ctr-Burt MD LTD CurrentSince May 15, 2021 Accepting new patients

Locations

2605 E Flamingo Rd
Las Vegas, NV 89121
Phone (702) 320-7100

Interoperability endpoints

  • Direct secure messaging: flscheduling@goldenvictorymedical.com

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": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1073915518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16244 S MILITARY TRL",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846534",
            "telephone_number": "561-499-9506",
            "fax_number": "561-499-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16244 S MILITARY TRL",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846534",
            "telephone_number": "561-499-9506",
            "fax_number": "561-499-0501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2241 Thornton Taylor Pkwy",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "TN",
            "postal_code": "373343637",
            "country_code": "US",
            "telephone_number": "256-970-9622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "DANIELLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-128193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q025861",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Flscheduling@goldenvictorymedical.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "16244 S Military Trl",
            "city": "Delray Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334846534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.