Kimberly Arlisa Morrissette

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

6288 Letson Farms Dr
Bessemer, AL 35022-7023

Phone

(205) 523-5664

NPI assigned

Oct 21, 2019

Last updated

Oct 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Arlisas Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Moving Forward Support Services LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bessemer, AL
  • NPI 1194327205
  NPD Authorized official

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1366085524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6288 LETSON FARMS DR",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350227023",
            "telephone_number": "205-523-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6288 LETSON FARMS DR",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350227023",
            "telephone_number": "205-523-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISSETTE",
        "first_name": "KIMBERLY",
        "middle_name": "ARLISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "SMITH",
            "middle_name": "ARLISAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sharon Moorer
• Morgan Rd Pediatrics, PC Dba Pediatrics 459
• Morgan Road Physical Medicine, LLC
• Virginia Morgan, OD
• Latonya Shavonne Morris, CEO
• Moving Forward Support Services LLC
• Moving With Intentions Transportation LLC
• Timothy Duane Mullins, PHARM. D.
• Delicia L Munfus-McCray, M.D.
• Bailey Murphy

• Contractor in Bessemer, AL
• Providers in Bessemer, AL by specialty
• Contractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.