Individual provider Active NPI

Keith Leilan Morgan, ADULT NURSE PRACTITI

  • Adult Health Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1174503742
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
VP003367C Issued in PA
Practice address
16302 Ross Oak St
San Antonio, TX 78247-1333
Phone
(210) 595-8614
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X VP003367C PA Primary

Addresses

Primary practice location

16302 Ross Oak St
San Antonio, TX 78247-1333

Mailing address

16302 Ross Oak St
San Antonio, TX 78247-1333
Phone (908) 309-9506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120621000703 TX Order and Referring Only - Nurse Practitioner 2769647858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
VP003367CPAMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174503742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16302 ROSS OAK ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782471333",
            "telephone_number": "908-309-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16302 ROSS OAK ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782471333",
            "telephone_number": "210-595-8614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "KEITH",
        "middle_name": "LEILAN",
        "credential": "ADULT NURSE PRACTITI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "VP003367C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.