Individual provider Active NPI

Morgan Lyn Putt, CPSS

  • Peer Specialist
  • Corinth, MS
National Provider Identifier
1225753882
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
667 Issued in MS
Practice address
1000 State St
Corinth, MS 38834-9307
Phone
(662) 286-5469
NPI assigned
Oct 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 667 MS Primary

Addresses

Primary practice location

1000 State St
Corinth, MS 38834-9307

Mailing address

240 Eastport St
Burnsville, MS 38833-9334
Phone (662) 660-9447

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL http://10.91.1.6/ Health Information Exchange (HIE)
Direct Messaging Address morgan.putts@regioniv.dmh Other

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
667MSMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1225753882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 EASTPORT ST",
            "city": "BURNSVILLE",
            "state": "MS",
            "postal_code": "388339334",
            "telephone_number": "662-660-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 STATE ST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349307",
            "telephone_number": "662-286-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTT",
        "first_name": "MORGAN",
        "middle_name": "LYN",
        "name_prefix": "Miss",
        "credential": "CPSS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "MS",
            "license": "667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://10.91.1.6/",
            "affiliation": "N",
            "endpointDescription": "lwsi",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "clients information",
            "address_1": "1000 State St",
            "city": "Corinth",
            "state": "MS",
            "country_code": "US",
            "postal_code": "388349307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "morgan.putts@regioniv.dmh",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "email",
            "address_1": "1000 State St",
            "city": "Corinth",
            "state": "MS",
            "country_code": "US",
            "postal_code": "388349307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.