Kelly Nicole Morgan

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

RN.482667 Issued in OH

Practice address

4300 Lynn Rd Ste 201
Ravenna, OH 44266-7838

Phone

(216) 264-0008

NPI assigned

Sep 2, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ever Well Community Health

  • Community/Behavioral Health Agency
  • Ravenna, OH
  • NPI 1891305157
  NPD

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1194445635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 IDLEWOOD AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443137430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 LYNN RD STE 201",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442667838",
            "telephone_number": "216-264-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "KELLY",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "OH",
            "license": "RN.482667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Moore
• Keyona Michelle Moore
• Lucy Moore
• Sonya M Moore, INDEPENDENT PROVIDER
• Brittany Moorer
• Ray Daniel Morris II, M.D.
• Tammy M Morris, LCDCII
• Jill Morrison
• Bashar A. Mubashir, M.D.
• Rebecca Muldowney

• Case Management Registered Nurse in Ravenna, OH
• Providers in Ravenna, OH by specialty
• Case Management Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.