Kathryn M Morris, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A03376ANP Issued in AR

Practice address

1012 B East 22ND St
Stuttgart, AR 72160

Phone

(870) 672-0911

Fax

(870) 672-0914

NPI assigned

Jun 8, 2010

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 identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grand Prairie Wellness Clinic PLLCGroup PAC ID 3779078795, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kathryn.morris.1@33853.direct.athenahealth.com

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.

• Grand Prairie Wellness Clinic PLLC

  • Family Medicine Physician
  • Stuttgart, AR
  • NPI 1679462337
  Medicare reassignment Care Compare group NPD Authorized official
• Dr B. E. Holmes PA

  • Family Medicine Physician
  • Lonoke, AR
  • NPI 1336353457
  NPD (past)
• Hce Northeast LLC

  • Urgent Care Clinic/Center
  • Princeton JCT, NJ
  • NPI 1982946257
  NPD (past)

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1386964708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 B EAST 22ND ST",
            "city": "STUTTGART",
            "state": "AR",
            "postal_code": "72160",
            "telephone_number": "870-672-0911",
            "fax_number": "870-672-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 B EAST 22ND ST",
            "city": "STUTTGART",
            "state": "AR",
            "postal_code": "72160",
            "telephone_number": "870-672-0911",
            "fax_number": "870-672-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "KATHRYN",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A03376ANP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187713758",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN",
            "identifier": "A03376ANP",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karri Jo Mitchell, A.P.N.
• Miracle Monk, MSW
• Lauren Coker Moore, APRN
• Christopher Morgan, M.D.
• Kimberly Morgan
• Rolonda Murry, MHPP
• New Patterns Counseling, LLC
• Miles Harrison Newton, D.M.D.
• Gail A Northcutt, PD
• Catriona Callan Oltmann, DMD

• Family Nurse Practitioner in Stuttgart, AR
• Providers in Stuttgart, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.
• 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.

Verify at the official NPI Registry.