Individual provider Active NPI

Peggy Susan Morrow, APN

  • Adult Psychiatric/Mental Health Registered Nurse
  • North Little Rock, AR
National Provider Identifier
1174617385
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
CNS501007 Issued in AR
Practice address
3805 McCain Park Dr 116
North Little Rock, AR 72116-7813
Phone
(501) 771-4693
Fax
(501) 771-4885
NPI assigned
Oct 3, 2006
Last updated
Sep 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X CNS501007 AR Primary

Addresses

Primary practice location

3805 McCain Park Dr 116
North Little Rock, AR 72116-7813

Mailing address

3805 McCain Park Dr 116
North Little Rock, AR 72116-7813
Phone (501) 758-9993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20140617001130 AR Practitioner - Certified Clinical Nurse Specialist (CNS) 0345464186 Receives reassigned benefits from 1 practitioner
Practice locations: Fayetteville, AR; Little Rock, AR; North Little Rock, AR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNS501007ARMDAdult Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
McCain Psychotherapy Center PastSince Mar 8, 2014 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1174617385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 MCCAIN PARK DR 116",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167813",
            "telephone_number": "501-758-9993",
            "fax_number": "501-771-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 MCCAIN PARK DR 116",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167813",
            "telephone_number": "501-771-4693",
            "fax_number": "501-771-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORROW",
        "first_name": "PEGGY",
        "middle_name": "SUSAN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "AR",
            "license": "CNS501007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.