Angel Antoinette Morris, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704336303 Issued in MI

Practice address

28050 Southfield Rd Ste 250
Lathrup Village, MI 48076-2835

Phone

(313) 318-0823

NPI assigned

Sep 12, 2023

Last updated

Sep 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Angel Antoinette Morris Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Morris Halo Health LLC

  • Point of Service
  • Southfield, MI
  • NPI 1518744531
  NPD Authorized official

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1205613460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16989 CORAL GABLES ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764764",
            "telephone_number": "313-318-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28050 SOUTHFIELD RD STE 250",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762835",
            "telephone_number": "313-318-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "ANGEL",
        "middle_name": "ANTOINETTE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704336303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGEL",
            "last_name": "MORRIS",
            "middle_name": "ANTOINETTE",
            "prefix": "MS.",
            "credential": "ANGEL MORRIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Registered Nurse in Lathrup Village, MI
• Providers in Lathrup Village, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.