Active NPI
Rebecca A Morrison, CPNP
- Pediatric Nurse Practitioner
- Johnson City, TN
National Provider Identifier
1245238914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APN0000007290
- Practice address
- 2151 Century LN
Johnson City, TN 37604-4469 - Phone
- (423) 926-2500
- NPI assigned
- Jul 7, 2005
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | APN0000007290 | TN | Primary |
Addresses
Primary practice location
2151 Century LN
Johnson City, TN 37604-4469
Mailing address
365 Stout Drive
Box 70403
Johnson City, TN 37614
Phone (423) 439-4515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3345945 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000007290 | TN | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Tennessee State University | Current | Accepting new patients | |
| East Tennessee State University | Current | Accepting new patients | |
| Holston United Methodist Home for Children, Inc. | Past | Accepting new patients |
Locations
2151 Century Ln
Johnson City, TN 37604
Phone (423) 439-4071
1901 S Shady St
Mountain City, TN 37683
Phone (423) 727-1100
2700 Main St
Sneedville, TN 37869
Phone (423) 733-2819
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Johnson City, TN
- NPI 1093990608
-
- Federally Qualified Health Center (FQHC)
- Sneedville, TN
- NPI 1215045976
-
- Clinical Social Worker
- Greeneville, TN
- NPI 1730228776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1245238914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 STOUT DRIVE",
"address_2": "BOX 70403",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "37614",
"telephone_number": "423-439-4515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2151 CENTURY LN",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376044469",
"telephone_number": "423-926-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISON",
"first_name": "REBECCA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-07",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TN",
"license": "APN0000007290",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3345945",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.