Active NPI
Gerald Dwayne Morris II, CPNP
- Pediatric Nurse Practitioner
- Woodville, TX
National Provider Identifier
1164760039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 746539
- Practice address
- 900 W Bluff St
Woodville, TX 75979-4734 - Phone
- (409) 283-2090
- Fax
- (409) 283-2097
- NPI assigned
- Jan 28, 2013
- Last updated
- Apr 10, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 746539 | TX | Primary |
Addresses
Primary practice location
900 W Bluff St
Woodville, TX 75979-4734
Mailing address
900 W Bluff St
Woodville, TX 75979-4734
Phone (409) 283-2090
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
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 746539 | TX | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491782400000",
"number": "1164760039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 W BLUFF ST",
"city": "WOODVILLE",
"state": "TX",
"postal_code": "759794734",
"telephone_number": "409-283-2090",
"fax_number": "409-283-2097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 W BLUFF ST",
"city": "WOODVILLE",
"state": "TX",
"postal_code": "759794734",
"telephone_number": "409-283-2090",
"fax_number": "409-283-2097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "GERALD",
"middle_name": "DWAYNE",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-28",
"last_updated": "2017-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "746539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.