Active NPI
Colleen Annette Morris, M.D
- Clinical Genetics (M.D.) Physician
- Las Vegas, NV
National Provider Identifier
1285612994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Genetics (M.D.) Physician
- License
- 5452
- Practice address
- 3006 S Maryland Pkwy
315
Las Vegas, NV 89109-2218 - Phone
- (702) 992-6868
- Fax
- (702) 992-6860
- NPI assigned
- Jan 3, 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 |
|---|---|---|---|---|
| Clinical Genetics (M.D.) Physician | 207SG0201X | 5452 | NV | Primary |
| Pediatrics Physician | 208000000X | 5452 | NV |
Addresses
Primary practice location
3006 S Maryland Pkwy
315
Las Vegas, NV 89109-2218
Mailing address
1701 W Charleston Blvd
215
Las Vegas, NV 89102-2325
Phone (702) 992-6868
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002019982 | Medicaid | NV | |
| 002002570 | Medicaid | NV | |
| G42205 | Other | NE | UPIN |
| CS04870 | Other | NE | STATE PHARMACY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5452 | NV | MD | Clinical Genetics (M.D.) Physician |
Interoperability endpoints
- cmorris6251@direct.umcsn.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1285612994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 W CHARLESTON BLVD",
"address_2": "215",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022325",
"telephone_number": "702-992-6868",
"fax_number": "702-992-6860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3006 S MARYLAND PKWY",
"address_2": "315",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891092218",
"telephone_number": "702-992-6868",
"fax_number": "702-992-6860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "COLLEEN",
"middle_name": "ANNETTE",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-03",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "NV",
"license": "5452",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NV",
"license": "5452",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002019982",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002002570",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "G42205",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACY",
"identifier": "CS04870",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.