Active NPI
Andrea L Morton, NP
- Family Nurse Practitioner
- Lewisburg, TN
National Provider Identifier
1194983221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 6819
- Practice address
- 529 W Commerce St
Lewisburg, TN 37091-3219 - Phone
- (931) 270-9729
- Fax
- (931) 270-9926
- NPI assigned
- May 27, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 6819 | TN | Primary |
Addresses
Primary practice location
529 W Commerce St
Lewisburg, TN 37091-3219
Mailing address
529 W Commerce St
Lewisburg, TN 37091-3219
Phone (931) 270-9729
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1505027 | Medicaid | TN | |
| 4188547 | Other | BCBST | |
| 3710089 | Medicaid | TN |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6819 | TN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1194983221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 W COMMERCE ST",
"city": "LEWISBURG",
"state": "TN",
"postal_code": "370913219",
"telephone_number": "931-270-9729",
"fax_number": "931-270-9926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 W COMMERCE ST",
"city": "LEWISBURG",
"state": "TN",
"postal_code": "370913219",
"telephone_number": "931-270-9729",
"fax_number": "931-270-9926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORTON",
"first_name": "ANDREA",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-27",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "6819",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1505027",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBST",
"identifier": "4188547",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3710089",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewisburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.