Active NPI
Jan Katherine Morello, M.D.
- Physical Medicine & Rehabilitation Physician
- Baton Rouge, LA
National Provider Identifier
1104125004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- MD.207576
- Practice address
- 7850 Anselmo LN
Baton Rouge, LA 70810-1101 - Phone
- (225) 768-6419
- NPI assigned
- Mar 18, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | MD.207576 | LA | Primary |
Addresses
Primary practice location
7850 Anselmo LN
Baton Rouge, LA 70810-1101
Mailing address
7850 Anselmo LN
Baton Rouge, LA 70810-1101
Phone (225) 768-6419
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2151037 | Medicaid | LA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.207576 | LA | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440460800000",
"number": "1104125004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7850 ANSELMO LN",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708101101",
"telephone_number": "225-768-6419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7850 ANSELMO LN",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708101101",
"telephone_number": "225-768-6419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORELLO",
"first_name": "JAN",
"middle_name": "KATHERINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-18",
"last_updated": "2015-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "LA",
"license": "MD.207576",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2151037",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.