Individual provider Active NPI

Tod Michael Morrison, FNP

  • Family Nurse Practitioner
  • Logan, UT
National Provider Identifier
1134567282
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5129925-3102 Issued in UT
Practice address
630 E 1400 N Ste 150
Logan, UT 84341-2549
Phone
(435) 915-4465
Fax
(435) 799-3664
NPI assigned
Jun 11, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2024

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 5129925-3102 UT Primary

Addresses

Primary practice location

630 E 1400 N Ste 150
Logan, UT 84341-2549

Mailing address

740 S Woodruff Ave
Idaho Falls, ID 83401-5285
Phone (208) 542-9111

Other practice location 1

609 S Highway 91 # A
Richmond, UT 84333-1208
Phone (435) 294-3215

Other practice location 2

939 US-89 Suite 1
Logan, UT 84321-6581
Phone (435) 787-8504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20130819000654 UT Practitioner - Nurse Practitioner 1355583451 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rocky Mountain Emergency Specialists LLCGroup PAC ID 5597662320, 10 clinicians
Sterling Provider GroupGroup PAC ID 2264773373, 52 clinicians

Practice addresses (Care Compare)

1400 N 500
Emergency Department
Logan, UT 84341-2455
Phone (435) 716-1000

630 E 1400
Suite 150
Logan, UT 84341-2549
Phone (435) 915-4465

Hospital & facility affiliations

  • Intermountain Health Logan Regional Hospital Hospital, Logan, UT, CCN 460015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5129925-3102UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Provider Group CurrentSince Feb 1, 2019 Accepting new patients
Sterling Provider Group CurrentSince Feb 1, 2019 Accepting new patients
Rocky Mountain Emergency Specialists LLC CurrentSince Aug 1, 2013 Accepting new patients

Locations

740 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 542-9111

939 S State Highway 89
Ste 1
Logan, UT 84321
Phone (435) 787-8504

630 E 1400 N
Ste 150
North Logan, UT 84341
Phone (435) 787-8504

1400 N 500 E
North Logan, UT 84341
Phone (435) 716-1000

609 S Highway 91
#A
Richmond, UT 84333
Phone (435) 294-3215

609 S Highway 91
Ste A
Richmond, UT 84333

47 Doc Perkes
Afton, WY 83110
Phone (307) 734-5864

1952 Harrison Dr
Evanston, WY 82930
Phone (307) 288-0404

2761 Commercial Way
Rock Springs, WY 82901
Phone (307) 382-3064

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1134567282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 S WOODRUFF AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015285",
            "telephone_number": "208-542-9111",
            "fax_number": "208-542-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E 1400 N STE 150",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412549",
            "telephone_number": "435-915-4465",
            "fax_number": "435-799-3664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 S Highway 91 # A",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "UT",
            "postal_code": "843331208",
            "country_code": "US",
            "telephone_number": "435-294-3215",
            "fax_number": "435-294-2960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "939 US-89 Suite 1",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "UT",
            "postal_code": "843216581",
            "country_code": "US",
            "telephone_number": "435-787-8504",
            "fax_number": "435-799-3664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "TOD",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-11",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "5129925-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

Verify at the official NPI Registry.