Individual provider Active NPI

Rebecca Lynn Morris, LMP

  • Specialist
  • Everett, WA
National Provider Identifier
1174829709
Registry record updated Jan 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA60133333 Issued in WA
Practice address
11614A 35TH Ave SE
Everett, WA 98208-5306
Phone
(425) 791-1055
Fax
(425) 948-6509
NPI assigned
Jan 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA60133333 WA Primary

Addresses

Primary practice location

11614A 35TH Ave SE
Everett, WA 98208-5306

Mailing address

11614A 35TH Ave SE
Everett, WA 98208-5306
Phone (425) 791-1055

Other identifiers 1

IdentifierTypeStateIssuer
0270227OtherWALNI

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

State licenses

LicenseStateTypeSpecialty
MA60133333WAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1296259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296259200000",
    "number": "1174829709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11614A 35TH AVE SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982085306",
            "telephone_number": "425-791-1055",
            "fax_number": "425-948-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11614A 35TH AVE SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982085306",
            "telephone_number": "425-791-1055",
            "fax_number": "425-948-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-29",
        "last_updated": "2011-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA60133333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI",
            "identifier": "0270227",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.