Individual provider Active NPI

Damara Morgan

  • Nurse Practitioner
  • Hagerstown, MD
National Provider Identifier
1114576220
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R209608 Issued in MD
Practice address
11110 Medical Campus Rd Ste 223
Hagerstown, MD 21742-6727
Phone
(240) 203-9000
NPI assigned
Sep 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R209608 MD Primary

Addresses

Primary practice location

11110 Medical Campus Rd Ste 223
Hagerstown, MD 21742-6727

Mailing address

7350 Van Dusen Rd
Ste 130
Laurel, MD 20707-5267
Phone (301) 560-4747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200923000360 MD Practitioner - Nurse Practitioner 5799104899 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R209608MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Mountain Community Health LLC CurrentSince Sep 10, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

9 Saint Paul St
Ste 3
Boonsboro, MD 21713
Phone (301) 432-6897

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1114576220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 VAN DUSEN RD",
            "address_2": "STE 130",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075267",
            "telephone_number": "301-560-4747",
            "fax_number": "301-776-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD STE 223",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426727",
            "telephone_number": "240-203-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "DAMARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R209608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.