Active NPI
Morgan Family Medicine
- Family Nurse Practitioner
- Meridian, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- MORGAN FAMILY MEDICINE
- Practice address
- 1660 S Woodsage Avenue
Meridian, ID 83642 - Phone
- (208) 906-1231
- Fax
- (208) 906-1232
- NPI assigned
- Jun 13, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary M. Morgan, NP
- Title
- Owner/Provider
- Phone
- (208) 906-1231
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1660 S Woodsage Avenue
Meridian, ID 83642
Mailing address
1660 S Woodsage Avenue
Meridian, ID 83642
Phone (208) 906-1231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 13D2171191 | Morgan Family Medicine | Certificate of waiver | Aug 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
1660 S Woodsage Ave
Bldg A
Meridian, ID 83642
Phone (208) 860-3386
Interoperability endpoints
- https://api.platform.athenahealth.com/25704/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Merridian, ID
- NPI 1437381209
-
- Nurse Practitioner
- Eagle, ID
- NPI 1619939451
-
- Family Nurse Practitioner
- Meridian, ID
- NPI 1710660089
-
- Family Nurse Practitioner
- Meridian, ID
- NPI 1669119590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571788800000",
"number": "1285293118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 S WOODSAGE AVENUE",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "83642",
"telephone_number": "208-906-1231",
"fax_number": "208-906-1232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 S WOODSAGE AVENUE",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "83642",
"telephone_number": "208-906-1231",
"fax_number": "208-906-1232"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORGAN FAMILY MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-13",
"last_updated": "2019-10-23",
"status": "A",
"authorized_official_last_name": "MORGAN",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "208-906-1231",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.