Organization Active NPI

Connie Morris, CRNP, LLC

  • Primary Care Clinic/Center
  • Lavale, MD
National Provider Identifier
1386069284
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
R088399 Issued in MD
Legal business name
CONNIE MORRIS, CRNP, LLC
Practice address
13106 Winchester Rd SW Ste 100
Lavale, MD 21502-6035
Phone
(240) 362-7249
Fax
(240) 362-7285
NPI assigned
Feb 28, 2014
Last updated
Feb 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Authorized official

Name
Mrs. Connie Jo Morris, CRNP
Title
Owner/Family Nurse Practitioner
Phone
(240) 362-7249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X R088399 MD Primary

Addresses

Primary practice location

13106 Winchester Rd SW Ste 100
Lavale, MD 21502-6035

Mailing address

13106 Winchester Rd SW Ste 100
Lavale, MD 21502-6035
Phone (240) 362-7249

Other identifiers 1

IdentifierTypeStateIssuer
230293ZB9FOtherMDMEDICARE

National Provider Directory

National Provider Directory

Locations

13106 Winchester Rd SW
Ste 100
Lavale, MD 21502
Phone (240) 362-7249

NPI Registry JSON

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393545600000",
    "number": "1386069284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13106 WINCHESTER RD SW STE 100",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215026035",
            "telephone_number": "240-362-7249",
            "fax_number": "240-362-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13106 WINCHESTER RD SW STE 100",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215026035",
            "telephone_number": "240-362-7249",
            "fax_number": "240-362-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNIE MORRIS, CRNP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-28",
        "last_updated": "2014-02-28",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER/FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "240-362-7249",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "R088399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "230293ZB9F",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lavale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; 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.