Active NPI
Brenda Morgan-Webber, NP
- Pediatric Nurse Practitioner
- Tyler, TX
National Provider Identifier
1255413134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP104123
- Practice address
- 214 E Houston St
Tyler, TX 75702-8131 - Phone
- (903) 593-1892
- Fax
- (903) 533-1776
- NPI assigned
- Oct 19, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP104123 | TX | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | 578951 | TX |
Addresses
Primary practice location
214 E Houston St
Tyler, TX 75702-8131
Mailing address
523 S Fannin Ave
Tyler, TX 75702-8204
Phone (903) 535-9041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP104123 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tyler Family Circle of Care | Current | Accepting new patients |
Locations
928 N Glenwood Blvd
Tyler, TX 75702
Phone (903) 533-7400
523 S Fannin Ave
Tyler, TX 75702
Interoperability endpoints
- bmorganwebber6870@christushealth.direct-ci.net
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Tyler, TX
- NPI 1942011903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1255413134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "523 S FANNIN AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757028204",
"telephone_number": "903-535-9041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 E HOUSTON ST",
"city": "TYLER",
"state": "TX",
"postal_code": "757028131",
"telephone_number": "903-593-1892",
"fax_number": "903-533-1776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN-WEBBER",
"first_name": "BRENDA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "AP104123",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "578951",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.