Individual provider Active NPI

Catherine Jordan Morrison, CRNA

  • Certified Registered Nurse Anesthetist
  • Clearwater, FL
National Provider Identifier
1174582993
Registry record updated Apr 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9163418 Issued in FL
Practice address
1901 Ulmerton Rd
Ste 450
Clearwater, FL 33762-2300
Phone
(727) 210-8104
NPI assigned
Mar 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP9163418 FL Primary

Addresses

Primary practice location

1901 Ulmerton Rd
Ste 450
Clearwater, FL 33762-2300

Mailing address

1901 Ulmerton Rd
Ste 450
Clearwater, FL 33762-2300
Phone (727) 210-8104

Other identifiers 1

IdentifierTypeStateIssuer
304317700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150305001259 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547165136 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidewater Anesthesia Associates, PAGroup PAC ID 1254300361, 35 clinicians

Practice addresses (Care Compare)

219 S Washington St
Easton, MD 21601-2996
Phone (410) 822-1000

Hospital & facility affiliations

  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Anesthesia Associates, PA Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2020 Accepting new patients
Easton Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2019 Accepting new patients
Anesco North Broward LLC Past Accepting new patients

Locations

6 Caulk Ln
Easton, MD 21601
Phone (410) 822-5552

511 Idlewild Ave
Easton, MD 21601
Phone (410) 820-6486

219 S Washington St
Easton, MD 21601

Organizations & group practices 3

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 3

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397347200000",
    "number": "1174582993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 ULMERTON RD",
            "address_2": "STE 450",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337622300",
            "telephone_number": "727-210-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 ULMERTON RD",
            "address_2": "STE 450",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337622300",
            "telephone_number": "727-210-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "CATHERINE",
        "middle_name": "JORDAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2014-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9163418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304317700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.